Claims Benefit Specialist

Job Summary

A company is looking for a Claim Benefit Specialist to review and adjudicate routine claims in accordance with processing guidelines.

Key Responsibilities

• Handles and processes benefits claims submitted by healthcare providers, ensuring accuracy and adherence to policies
• Determines eligibility and coverage of benefits based on patient insurance plans and policy guidelines
• Documents claim information and communicates with stakeholders to resolve discrepancies or issues related to claims

Required Qualifications

• Less than 1 year of work experience
• Working knowledge of decision-making skills
• Experience in a production environment
• High school diploma or equivalent G.E.D