Central Processing Technician

Are you looking for a challenging and fulfilling career in the healthcare industry? Look no further than Highmark Health! We are seeking a dedicated and detail-oriented Central Processing Technician to join our dynamic team. As a Central Processing Technician, you will play a crucial role in ensuring the efficient and accurate processing of medical claims and records. With Highmark Health, you will have the opportunity to utilize your skills and make a meaningful impact on the lives of our members. If you have a passion for healthcare and possess the required qualifications, we would love to hear from you!

1. Accurately process medical claims and records in a timely manner.
2. Ensure compliance with all relevant regulations and guidelines.
3. Review and verify information on medical claims for accuracy and completeness.
4. Utilize various software and systems to process and track claims.
5. Communicate with healthcare providers and insurance companies regarding claim status and necessary documentation.
6. Maintain confidentiality and security of sensitive medical information.
7. Collaborate with team members to troubleshoot and resolve any processing issues.
8. Continuously update and maintain knowledge of industry changes, policies, and procedures.
9. Identify and escalate any potential fraud or discrepancies in claims.
10. Assist in training and mentoring new team members.
11. Prioritize and manage a high volume of claims while maintaining accuracy and quality standards.
12. Provide exceptional customer service to internal and external stakeholders.
13. Ensure all claims are processed within designated timeframes.
14. Maintain accurate records and documentation of all processed claims.
15. Participate in department meetings and provide input for process improvements.
16. Follow organizational and departmental policies and procedures.
17. Actively contribute to a positive and collaborative team environment.
18. Continuously strive to meet and exceed performance metrics and goals.
19. Take on additional tasks and responsibilities as assigned by management.
20. Maintain a professional and courteous demeanor at all times.

According to JobzMall, the average salary range for a Central Processing Technician in Pittsburgh, PA, USA is $34,000-$50,000 per year. This can vary depending on the specific company, experience level, and education of the individual. Additional factors such as bonuses, benefits, and location may also affect the salary range.

Highmark Inc. is among the largest health insurers in the United States and the fourth-largest Blue Cross and Blue Shield-affiliated company. Highmark and its diversified businesses and affiliates operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members. Its diversified health businesses serve group customer and individual health needs across the United States through dental insurance, vision care and other related health businesses. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.