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Claims Processor

Careers Integrated Resources Inc

Claims Processor

Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.

Essential Functions:

  • Adjudicate claims and adjustments as required.
  • Resolve claims edits and suspended claims.
  • Maintain and update required reference materials to adjudicate claims.
  • Provide backup support to other team/group members in the performance of job duties as assigned.

Requirements/Certifications:

- Ability to quickly use a 10-key machine

- Experience with list of ICD-9 codes and Current Procedural Terminology (CPT) Claims

High School (Required) GED (Required)

Careers Integrated Resources Inc
Vacancy posted 5 days ago
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