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)

All your information will be kept confidential according to EEO guidelines.