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M

Claims Processor I

Mindlance
🇺🇸 United States
On-site
6 days ago
  • Health insurance
Duties: Responsible for the accurate and timely processing of claims. •75% Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. •20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. •5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. null
Skills: Required Skills and Abilities: Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills. Required Software and Tools: Basic office equipment. Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software. Work Environment: Typical office or home environment. null
Education: Required Education: High School Diploma or equivalent Required Work Experience: None Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment. Preferred Skills and Abilities: Ability to use complex mathematical calculations. null

Claims Processor I · Mindlance

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