Job Description
Responsibilities-
- Review & Analyze Healthcare payer claims including HCFA & UB forms.
-Validate Member, Provider and other Claims information. -Review the accurate payment based on defined Policy and Procedure.
-Review Coordination of Claim Benefits based on the Policy & Procedure.
-Maintain productivity goals, quality standards within required timeframes.
-Scrutinizing Medical Claim Documents and settlements. -Organizing and completing tasks per assigned priorities.
-Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
-Resolving complex situations following pre-established guidelines
Requirements for this role include:
-University degree or equivalent that required formal studies of the English language and basic Math
- <1 Year of experience using a computer with Windows PC applications th...