Medova Healthcare Financial Group, LLC
  • Wichita, KS, USA
  • Hourly
  • Full Time

Medical, dental, vision, 401(k), PTO, paid holidays


Use your medical billing or medical terminology in a professional office setting investigating, processing and adjudicating high dollar claims.  This is an office based position in Wichita, KS.

Essential Functions:

  • Process complex large dollar claims
  • Process and adjudicate cancer claims after obtaining repricing information
  • Process specialized claims obtaining pricing through an outside vendor
  • Research possible disclosure issues
  • Coordinate claims processing completed by third party claims processors
  • Work in close coordinator with Stop Loss Claims Processors
  • Develop and maintain an excellent working knowledge of policies in order to determine eligibility benefits and process claims accurately.
  • Must work within audit and established dollar limitations
  • Assist providers and members with questions regarding their claims or policies both in writing and verbally
  • Abide by HIPAA regulations and other privacy policies at all times
  • Maintain an exemplary attendance and tardiness record following established company guidelines
  • Demonstrate ability to work well with other departments and all Medova staff members
  • Complete other tasks, as assigned

Competencies:

  • Technical Capacity
  • Problem Solving
  • Attention to Detail
  • Initiative

Required Education and Experience:

  • High School Diploma or equivalent
  • 1-2 years medical terminology

Preferred Education and Experience:

  • Additional course work in the medical field
  • 2-5 years of medical claims processing experience including medical terminology and coding
  • 1-2 years of health insurance industry experience

Computer Skills:

  • Microsoft Outlook
  • Microsoft Word
  • Microsoft Excel
  • Data Entry
  • Ten Key

 

Position Type and Expected Hours of Work:

  • Full-time
  • Monday-Thursday 8am-5pm; Friday 8am-4pm (general)
  • At least a 30 minute lunch required daily

Work Environment:

  • Professional office environment
  • Tobacco free
  • Standard office equipment such as computer, phone, postage machine, and copier/scanner/fax
Medova Healthcare Financial Group, LLC
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