West Corporation
- Hiring Event - Insurance Claims Validator
At a glance
Location: US-NE-Omaha Map
Posted: 10/21/2019
Closing: 11/20/2019
Degree: High School
Type: Full-Time
Experience: At least 1 year(s)
Job description
West Corporation is hosting an on-site Hiring Event at our 7171 Mercy Rd. Suite 600 office on 10/23/19 from 12 pm to 6 pm!  We're looking to hire several Insurance Claims Validators with an expected start date of 11/11/19.  Please take a few minutes and apply today so we can have one of our recruiters reach out with more details.
Hiring Event Details:
Location: 7171 Mercy Rd. Suite 600, Omaha, NE
Date and time of event: 10/23/19 from 12 pm to 6 pm

We'll reach out to you to RSVP once you have applied

Do you have experience in the following?

  • Insurance Claims processing
  • Medical Billing and/or Coding

 

Does the following interest you?

  • A fast paced, casual work environment
  • Research and investigation of medical claims
  • Auditing medical claims for accuracy

 

If you answered yes to any of the above, West’s Accent Cost Containment division has an opportunity to join their team as an Insurance Claims Validator (Medical Claims Auditor) in our Omaha, NE location!

 

With this opportunity, you will gain valuable insurance claims experience through auditing medical claims to discover discrepancies related to insurance overpayments. You will research and investigate insurance claims in various systems, as well as audit claims for accuracy and eligibility. Once the claim is determined to be legitimate, records are updated accordingly. If fund recovery opportunities are identified, the claim record(s) are then sent to our fund’s recovery team for additional follow-up on behalf of the largest healthcare providers in the world.

 

Other responsibilities of the Insurance Claims Validator role include:

  • Identify and define claims errors and discrepancies
  • Review and analyze provider contracts and health plan reimbursement regulations
  • Update and develop new and current audit reports and develop and run custom queries
  • Working with a variety of claims including Medicare, Facility, In-patient, and Out-patient
  • Develop and implement new ideas that will help better recognize incorrect payments and generate a higher quality of recoverable claims
  • Meet or exceed department attendance and quality goals
Job requirements
What we offer:
  • Full-time, 40 hours per week, Monday through Friday, 8-5 pm schedule (Flexible schedule after completing a 4-week paid training program)
  • Full health, dental and vision insurance, STD/LTD, vacation, sick time, 401(k) with a company match, tuition reimbursement and more!
  • Career advancement opportunities after 6 months
  • Competitive salary based on experience
  • Casual dress code
Applicant for this job will be expected to meet the following minimum qualifications:
Education
  • Must be 18 years or older
  • High School Diploma or GED required
Experience
  • Minimum 1-year experience in medical insurance claim processing, auditing, medical coding or related experience required (or prior experience with EOBs, Provider/Member contracts, COBs, ICD 9/10, CMS Coding, etc.)
  • Experience using general office software such as Outlook, Word and Excel
Hiring Event - Insurance Claims Validator