Claims Adjudicator
Virtual Vocations Inc
Responding to incoming calls from providers regarding claims inquiries, the full-time Claims Adjudicator will provide excellent customer service, support issue resolution, and document all interactions while collaborating with various internal teams to address and resolve claims issues. Key responsibilities Support resolution of provider claims issues, including analyzing systems and collaborating with operational areas to facilitate resolution Research claims tracers, adjustments, and resubmissions while managing high volumes of claims adjudication in a timely manner Document all provider interactions and assist in reviews of state and federal complaints related to claims Required qualifications 2 years of experience in a clerical role within claims or customer service, preferably in a managed care organization Strong research and data analysis skills Proficiency in Microsoft Office suite and applicable software programs Organizational and time-management skills to handle multiple projects and meet deadlines Customer service experience with effective communication skills
Vacancy posted 2 days ago
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