CLAIMS PROCESSOR - MANAGED CARE

Job Description Quality Health Management (QHM)is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin. We are currently recruiting for a Claims Clerk.
Answer, screen and transfer inbound phone calls
Provide general claims support by completing outgoing/incoming requests for additional claim supporting documentation (medical records, itemized bills, corrected claims etc.)
Conduct data entry and re-work; Work claims files to ensure the appropriate eligibility and provider records are matched
Updates and maintains database as requested
Scan, rename and attach documents
Assist on different projects as instructed

1+ years of experience in customer service

• Familiarity with insurance and medical terminology
• nCompany Description Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.Extensive worldwide network of providers

Efficient claims service and custom claims re-pricing
Experienced medical case management
Superior account management and 24 hour member service
Specialty care services including solid organ/bone marrow transplantation, oncology risk management and pharmacy benefits
Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin.\r\n\r\nQHM delivers highly personalized health management on each and every case. Our service includes:\r\n\r\nExtensive worldwide network of providers\r\nEfficient claims service and custom claims re-pricing\r\nExperienced medical case management\r\nSuperior account management and 24 hour member service\r\nSpecialty care services including solid organ/bone marrow transplantation, oncology risk management and pharmacy benefits