Claims Processor

 Description:

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.