[Hiring] Claims Processor I @Military Spouse Corporate Career Network

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
• Education - Required: GED, High School
• Salary Range: $34,295 - $51,445

Company Description