Claims Processor
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Job Summary
Responsible for the accurate and timely processing of claims, the remote Claims Processor II will adjudicate claims and adjustments, resolve claims edits, and maintain reference materials to ensure compliance with payment policies and contractual agreements.
Key responsibilities
- Adjudicates claims and adjustments as required
- Resolves claims edits and suspended claims
- Maintains and updates required reference materials for claims adjudication
Required qualifications
- GED or High School diploma
- Experience with ICD-9/10 codes and Current Procedural Terminology (CPT)
- Demonstrated ability to navigate computer applications
- Basic analytical skills
- Ability to follow provided directions and comprehend reading materials
Complete Job Description
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