[Hiring] Claims Processor I @VetJobs

Role Description

Responsible and accountable for the accurate and timely processing of all claims. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.

• Adjudicates claims and adjustments as required.
• Resolves claims edits and suspended claims.
• Maintains and updates required reference materials to adjudicate claims.
• Provides backup support to other team/group members in the performance of job duties as assigned.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Qualifications

• Ability to quickly use a 10-key machine.
• Experience with list of ICD-9 codes and Current Procedural Terminology (CPT).

Requirements

• Work Experience - Required: Claims
• Work Experience - Preferred: [Not specified]
• Education - Required: GED, High School
• Education - Preferred: [Not specified]
• License and Certifications - Required: [Not specified]
• License and Certifications - Preferred: [Not specified]

Benefits

• Salary Minimum: $34,295
• Salary Maximum: $51,445