Remote: Insurance Claims Processor – Peak Health; WFH/No Degree RQD Peak Health

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Position: Remote: Insurance Claims Processor – Peak Health(WFH/No Degree RQD) Peak Health Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. This position will report to the Claims Manager, playing a unique and important role in our mission to change healthcare for the better. Experience in the healthcare industry and critical thinking skills will help the organization build an effective and efficient claims team. The claims team will review and oversee the adjudication of claims ranging from the simple data entry to complex specialty claim research. The Claims Team will analyze and process insurance claims, checking for validity. Ability to determine whether to return, deny, or pay claims while following organizational policies and procedures is a must. This job screens, reviews, evaluate online entry, error correction, and quality control for final adjudication of paper/electronic claims. MINIMUM QUALIFICATIONS EDUCATION, CERTIFICATION, AND/OR LICENSURE: • 1. High School diploma/GED EXPERIENCE: • 1. One (1) year of experience working with medical or institutional claim data entry OR One (1) year of customer service experience. PREFERRED QUALIFICATIONS EDUCATION, CERTIFICATION, AND/OR LICENSURE: • 1. Associate Degree in related healthcare field. EXPERIENCE: • 1. Two plus years of medical or institutional claims processing and customer service experience. CORE DUTIES AND RESPONSIBILITIES The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. • 1. Determines accuracy and completions of claim information. Entry/verifies claims data. • 2. Resolves claim edits, review history records, and determine benefit eligibility for service. • 3. Reviews payment levels to arrive at final payment determination. • 4. Meets all production and quality standards, maintaining workques according to department standards. • 5. Effectively communicates with internal and external staff. • 6. Elevates issues to next level of supervision, as appropriate. • 7. Ensures accuracy of data entered and record maintenance. • 8. Attends all required training classes, demonstrating proficiency and ability to learn. • 9. Other duties as deemed appropriate by the Claims Manager. PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • 1. Ability to sit for extended periods of time. WORKING ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • 1. Standard office environment with electrical equipment (i.e., telephone, personal computer, copier, fax machines, etc.) • 2. Computer Software/Systems include but not limited to Microsoft Office Professional Suite (Outlook, Word, Excel, Access) Internet Explorer and EPIC SKILLS AND ABILITIES • 1. Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. • 2. Ability to take direction and to navigate through multiple systems simultaneously. • 3. Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette. • 4. Ability to solve problems with predefined methods and guidelines to drive improved efficiencies and customer satisfaction. • 5. Ability to use mathematics to adjudicate claims. • 6. Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services. • 7. Knowledge and understanding of medical terminology, third party payors and insurance preferred. • 8. Requires attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously. Additional Job Description Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: PHH Peak Health Holdings Cost Center: 2902 PHH Claims Operations #J-18808-Ljbffr

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Top 25 Common Interview Questions and Answers

To get a job means you must be ready for an interview. Most people get confused about how they should face an interview to impress the employer. The fact cannot be ignored that landing an interview is no less than a huge achievement as we know how competitive today’s world is. Clearing an interview means you would be securing the job. It does not matter if you are a fresh graduate, are supposed to transition your career, or believe to have a higher position, preparing for an interview is important indeed.

Here, we are going to share the top 25 highly common interview questions along with tips as well as sample answers to help you stand out from others in today’s highly competitive job market in the USA.

1. Give me your introduction in short.

This is the most common questions asked by every interviewer. The fact cannot be ignored that it irritates sometimes as well. But the fact cannot be ignored that it is important as well to fetch important information about an employee.
“Myself ....(your name)…. and I hold a degree in ……….(your field name)……… from…..(university name)... .over….(duration of your). I hold experience in ….(respective field)... .specialized in ….(share your genre)... .Currently, I am working on a project and received positive reviews from the employer.

2. Describe your excellent achievement in your job career.

My greatest achievement was leading a team to do a prominent project within a stipulated time and budget. And that project set our company different from its competitors among our clients.

3. What are the reasons to work with us?

Upon asking this question, you should emphasize that you are aware of the company’s profile and adhere to align your values with theirs. I have always admired this company because of its sustainability and innovation factors. I will keep working with you and contribute to taking it to the next level.

4. Reasons to quit your last job.

The reason to quit my last job is to seek more new challenges and opportunities for growth. I want to hone my skills in a new environment. I believe in keeping going on with new challenges as I think that comfort zone eradicates your creativity.

5. What about your strengths?

Here, you need to be smart and relevant both at the same time. Problem Solving is one of my key strengths. I believe in focusing on the solution and can improve your efficiency by 20% by introducing strategic solutions.

6. What is your weakness?

I believe in doing every work with so much perfection and it takes me slow sometimes. However, I am trying to balance quality and efficiency by dividing my attention towards goals and deadlines.

7. Why should we hire you?

With my huge experience in …………. And holding a proven track record of delivering projects within time, I believe in my ability to cater to your team effectively. Moreover, I believe in giving the best to my work as it brings personal satisfaction to me.

8. In your previous company, what prominent challenges did you face, and how did you deal with them?

In my previous company job profile, we faced a sudden budget cut and delivered a project within the stipulated time with no huge team. I led my team and accomplished that project within that limited budget and time without compromising project quality. Accomplishing a project within a limited budget always makes me feel proud.

9. What is your ideal way to tackle stress and pressure?

I believe in being organized and prioritizing tasks. Once you know how much time you need to give to a particular task, it helps to cut down on high pressure. I believe in making a strategy to get the most out of it. I believe in being calm under pressure.

10. What is your way to prioritize your work?

I believe in going with the deadlines and significance of the project to keep myself productive and free from stress. Moreover, I keep working on a progress tracker to keep boosting my energy.

11. Things that motivate you.

Solving complex issues is what keeps me motivated and seeing the tangible results of my work. Moreover, dynamic as well as innovative environments always boost me up.

12. What is your way of handling criticism?

I always see criticism as a way to hone my skills and an opportunity to learn and grow. I always listen quite carefully and act accordingly to come up with satisfactory results.

13. Describe a time you worked in a team.

I collaborated with a diverse team in my last company to come up with a new marketing strategy. My role in that team was to integrate social media efforts resulting in 25% increased engagement.

14. What is your way of dealing with difficult coworkers?

I am a firm believer in addressing conflicts directly and professionally to come up with a solution. Open communication is my asset and understanding different perspectives to solve issues amicably.

15. Reasons to get this job?

This job sits well with my skills in this field as well as my passion for learning more about new things. I am excited to contribute and learn more in your company professionally.

16. How would you be handling multiple deadlines if given?

The simple thing from my perspective is to stay organized and divide the tasks into manageable steps. I believe in doing the work based on urgency and impact.

17. Tell us about the time you failed badly in your job.

Once I missed a significant deadline because of not being good at time management. This is how I learned about time management and being adhered to realistic goals to improve my planning skills in an ideal manner.

18. How do you see yourself outside of work?

I enjoy reading a lot related to my profession. Moreover, reading makes me calm too. Apart from that, hiking and roaming to peaceful places are my favorite things to do.

19. What are your salary expectations?

Following my research and the responsibilities of the role, I expect a salary in the range of $...... to $..... Though, I am open to knowing your side as well.

20. What do you expect from yourself in the next five years?

I am a keen learner and want to expand my knowledge by getting associated with your company. I want to take on more leadership responsibilities and contribute to achieving success in highly creative ways.

21. What do you think about the latest industry trends and changes?

I believe in keeping myself updated about the latest and ongoing industry trends and changes. I keep following the latest job profile e-newsletter; and also attend relevant webinars and conferences. Learning is a never-ending process.

22. How do you describe your ideal work environment?

For me an ideal work environment is all about having open communication and teamwork to achieve success, to learn more, and to have excellent professional growth.

23. How aware are you of our company?

I know this company has established itself as one of the prominent companies in today’s tech industry. It is known for its excellent solutions, creative ways, and commitment to sustainability. The current services and their success rate make this company completely different from others.

24. What skills can you add to this job?

I have been in this field for the past 5-6 years and hold huge experience identifying trends that lead to exceptional business growth. I am also good at communication and teamwork to make the most of it.

25. Do you have any questions for us?

Yes, I would like to know more about the team I would be working with. What sort of challenges are the team currently going through? What is about the career growth in this company?