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West Corporation.

Insurance Claims Validator

West Corporation. - Omaha, NE

Insurance Claims Validator','121812','!*!West's Cost Containment team is looking to hire Insurance Claims Validators (Medical Claims Auditor) in Omaha, NE! With this opportunity, you will gain valuable insurance claims experience through analyzing medical claims data to discover discrepancies related to insurance overpayments. In this fast-paced and multi-tasking environment, research and investigation of insurance medical claims will be conducted in up to 15 different systems as well as auditing these claims for accuracy and eligibility. Once the legitimacy of the claim is determined, records are dispositioned accordingly. If fund recovery opportunities are identified, records are then queued for additional follow-up by our funds recovery team on behalf of the largest healthcare providers in the world. Other responsibilities of the Insurance Claims Validator role include: Identifying and defining claims errors and discrepancies, developing criteria, reviewing and analyzing contracts and health plan reimbursement regulations Updating and developing new and current audit reports, developing and running custom queries Working with a variety of claims including Medicare, Facility, In-patient, and Out-patient Developing and implementing new concepts that will recognize incorrect payments and generate high quality recoverable claims','!*!Applicants for this job will be expected to meet the following minimum qualifications: EducationMust be 18 years or olderHigh School Diploma or GED requiredExperienceMinimum 1 year experience in medical insurance claim processing (EOB, Provider/Member contracts, COB, ICD 9/10, CMS Coding, etc.), auditing, medical coding or related experience requiredWest is connecting people and ideas. We are delivering on their potential. We are improving the way we work and live. At West, we are dedicated to delivering and improving upon new channels, new capabilities and new choices for how businesses and consumers collaborate, connect and transact. We develop technology-enabled communications that change the way we work and improve the way we live. We are a collective effort of enterprise and individuals, of communities and customers, of partnerships and families. We are the sum of our entire network - the result of brilliant ideas, dedication and the hard work of people who share our vision. We are at the core of a technology and communications engine that is changing the world. We connect. We deliver. We are West. Applications will be accepted through 06/27/18. EEO Employer Don't forget to join our online talent community and Like West Careers on Facebook to receive updates about exciting opportunities and network with other West Employees!','Call Center','United States-Nebraska-Omaha','','Claims Recovery Services USA','Full-time','05/30/2018','Insurance Claims Validator

23 days 13 hours ago

West Corporation.


Insurance Claims Validator West Corporation. - Omaha, NE, United States


Location: Omaha, NE

Company Profile:
To many of the top companies in nearly every industry, West provides the technology and customized services to connect with their customers, workforce, partners and vendors. We help our clients communicate clearly, confidently, persuasively in a market place that spans the globe and yet is as personal as a conversation between two people.