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Claims Processor Job Opening In Fairfax – Now Hiring Ampcus


Job description


Ampcus Inc.

is a certified global provider of a broad range of Technology and Business consulting services.

We are in search of a highly motivated candidate to join our talented Team.
 

Job Title: Claims Processor



Location(s): Fairfax, VA

Job Description:

  • Under direct supervision, reviews and adjudicates paper/electronic claims.

    Determines proper handling and adjudication of claims following organizational policies and procedures.
  • ESSENTIAL FUNCTIONS:

  • % Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures.

    Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims.

    The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
  • % Completes research of procedures.

    Applies training materials, correspondence and medical policies to ensure claims are processed accurately.

    Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership.

    Required participation in ongoing developmental training to performing daily functions.
  • % Completes productivity daily data that is used by leadership to compile performance statistics.

    Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
  • % Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.
  • Qualifications

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

    The requirements listed below are representative of the knowledge, skill, and/or ability required.

  • Education Level: High School Diploma or GED
  • Experience: less than one year experience processing claim documents
  • Preferred Qualifications

  • - years Claims processing, billing, or medical terminology experience
  • Knowledge, Skills and Abilities (KSAs)

  • Demonstrated analytical skills, Proficient
  • Demonstrated reading comprehension and ability to follow directions provided, Proficient
  • Basic written/oral communication skills , Proficient
  • Demonstrated ability to navigate computer applications , Proficient




  • All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.




    Required Skill Profession

    Other Office And Administrative Support Workers


    • Job Details

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    Unlock Your Claims Processor Potential: Insight & Career Growth Guide


    Real-time Claims Processor Jobs Trends (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for Claims Processor in Fairfax, United States, highlighting market share and opportunities for professionals in Claims Processor roles.

    8717 Jobs in United States
    8717
    3 Jobs in Fairfax
    3
    Download Claims Processor Jobs Trends in Fairfax and United States

    Are You Looking for Claims Processor Job?

    Great news! is currently hiring and seeking a Claims Processor to join their team. Feel free to download the job details.

    Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Ampcus adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:

    1. Independence

    2. Loyalty

    3. Impartiapty

    4. Integrity

    5. Accountabipty

    6. Respect for human rights

    7. Obeying United States laws and regulations

    What Is the Average Salary Range for Claims Processor Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in Fairfax. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    What Are the Key Qualifications for Claims Processor?

    Key qualifications for Claims Processor typically include Other Office And Administrative Support Workers and a list of qualifications and expertise as mentioned in the job specification. The generic skills are mostly outlined by the . Be sure to check the specific job listing for detailed requirements and qualifications.

    How Can I Improve My Chances of Getting Hired for Claims Processor?

    To improve your chances of getting hired for Claims Processor, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    Interview Tips for Claims Processor Job Success

    Ampcus interview tips for Claims Processor

    Here are some tips to help you prepare for and ace your Claims Processor job interview:

    Before the Interview:

    Research: Learn about the Ampcus's mission, values, products, and the specific job requirements and get further information about

    Other Openings

    Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

    Dress Professionally: Choose attire appropriate for the company culture.

    Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

    Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

    During the Interview:

    Be Punctual: Arrive on time to demonstrate professionalism and respect.

    Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.

    Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.

    Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.

    Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.

    Follow Up: Send a thank-you email to the interviewer within 24 hours.

    Additional Tips:

    Be Yourself: Let your personality shine through while maintaining professionalism.

    Be Honest: Don't exaggerate your skills or experience.

    Be Positive: Focus on your strengths and accomplishments.

    Body Language: Maintain good posture, avoid fidgeting, and make eye contact.

    Turn Off Phone: Avoid distractions during the interview.

    Final Thought:

    To prepare for your Claims Processor interview at Ampcus, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Ampcus's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

    How to Set Up Job Alerts for Claims Processor Positions

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