Telecommute Medical Claims Representative II

Job is Expired
Location: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin
Compensation: Salary
Staff Reviewed: Thu, Jun 09, 2022

Job Summary

A health insurance company is filling a position for a Telecommute Claims Representative II.

Core Responsibilities Include:

  • Responding to requests for first level appeals
  • Obtaining and reviewing system and hard copy documentation and medical notes
  • Determining appropriate financial liability for decision

Applicants must meet the following qualifications:

  • Coursework in medical terminology or understanding of general medical terminology
  • High School diploma or equivalent
  • 2 or more years recent health insurance experience
  • 2 or more years of experience working for the GHA contract with WPS
  • 2 or more years of experience in customer service or claims processing with WPS

COMPLETE JOB DESCRIPTION

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