Claims Specialist at Dexian in Irving, Texas
Disabledperson, Inc
Claims Examiner
The Claims Examiner is responsible for processing UB and CMS 1500 claims, performing data entry and claim pend issue resolution within the quality and production requirements.
Adjudicate claims at a rate equal to 150 per normal workday
Maintain statistical accuracy of 98%, and financial accuracy of 98%
Correct DoD error report as needed, respond timely to all Customer Service, Provider Relations type questions
Other duties as assigned by management
Collaborate with and maintain open communication with all departments within Health to ensure effective and efficient workflow and facilitate completion of tasks/goals
Follow the Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
High School Diploma
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