Claims Processor
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Job Summary
Responsible for the accurate and timely processing of claims, the remote Claims Processor I will adjudicate claims and adjustments, resolve claims edits, and maintain reference materials while providing backup support to team members.
Key responsibilities
- Adjudicates claims and adjustments as required
- Resolves claims edits and suspended claims
- Maintains and updates required reference materials to adjudicate claims
Required qualifications
- GED or High School diploma
- Experience with claims processing
- Ability to quickly use a 10-key machine
- Familiarity with ICD-9 codes and Current Procedural Terminology (CPT)
Complete Job Description
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