Claims Examiner \ 105
Paladin
Claims Examiner - ONSITE
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.
Responsibilities:
- 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 Client to ensure effective and efficient workflow and facilitate completion of tasks/goals
- Follow the Client Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
Requirements:
- High School Diploma
- Work Schedule: 5 Days - 8 Hours
- Work Type: Full Time
Vacancy posted 2 days ago
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