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Skills
10-key (Tenkey) Numeric Keypadunmatched
Adjudicationunmatched
Claims Processingunmatched
Current Procedural Terminology (CPT)unmatched
ICD-9unmatched
Time Managementunmatched
Description
Claims ProcessorResponsible 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 machineExperience with list of ICD-9 codes and Current Procedural Terminology (CPT) ClaimsHigh School (Required) GED (Required)All your information will be kept confidential according to EEO guidelines.