Who we are
CDS Administrators, Inc. (CDS) is a locally owned and operated employee benefit services firm in the greater Pittsburgh area. We are seeking candidates interested in working in a fast-paced environment in a growing organization. The company specializes in benefit administration for union plans and prioritizes exceptional customer service. CDS values our employees; we promote from within, and are invested in training and development.
Who you are
We are looking for people who want to build a career. This position requires attention to detail, analytical thinking / problem solving and great organizational skills.
Here’s what you’ll be doing as a Healthcare Claims Processor
As a Healthcare Claims Processor you will be responsible for analyzing, reviewing, and adjudicating medical, dental, and vision claims while maintaining exceptional customer service, including providing information to providers as well as participants regarding eligibility, benefits, and claim status.
· Answer/resolve incoming participant and provider calls
· Conduct outbound calls to follow up on participant concerns
· Process medical, dental and vision claims
· Data entry for claims processing
· Able to read, analyze, and understand Explanation of Benefits
· Understand and effectively communicate covered/non-covered benefits, deductibles, maximum amounts, limitations, and exclusions
· Able to read, analyze, and understand Plan Documents and Summary Plan Descriptions
Qualifications
· Must have at least 1 year previous experience processing claims
· Prior medical claims experience preferred
· High school diploma required
· Must have the ability to manage their own time throughout the day while actively addressing client and team requests
Job Type: Full-time
Pay: From $16.50 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Work Location: In person