Medical Claims Processor - Temp - (Colorado Springs, CO)

POSITION OVERVIEW: This position is responsible for processing, adjudicating, and paying all PACE program participant medical insurance claims including performing the daily customer service activities surrounding the claims process. MISSION: Improving lives, Optimizing wellness, Promoting independence COMPETENCIES: Attention to detail Thoroughness Customer focus Professional demeanor Time management Medicare/Medicaid claims processing RESPONSIBILITIES AND DUTIES: ESSENTIAL JOB FUNCTIONS: Processes provider claims including validation, coding, data entry, adjudication, and importing/exporting in electronic health record ("EHR") and accounting systems Prepares and disburses payment checks with explanation of payments (EOPs) to providers Performs in depth analysis of complex claims identifying missing and/or incomplete data to determine appropriate resolution Acts as the primary contact for support and resolution with internal departments as well as external provider representatives in a timely manner Assists