Claims Representative - Medical Insurance
job summary : Responsibilities :
Responsibilities :
- Maintain knowledge of multiple benefit schedules in regards to medical claims and claims processing
- Respond timely and accurately to phone calls, e mails, walk in participants, and correspondence
by answering questions
- Explain claim denials, notices, and payments from client requests
- Research eligibility and claims requirements
- Maintain system information, updated client and vendor profiles
Skills : Claims Processing, Medical Customer Service, EHR / Epic, CPT Codes, ICD-10, ICD-9 Experience : Experienced2 year(s)
responsibilities :
- Maintain knowledge of multiple benefit schedules in regards to medical claims and claims processing
- Respond timely and accurately to phone calls, e mails, walk in participants, and correspondence
by answering questions
- Explain claim denials, notices, and payments from client requests
- Research eligibility and claims requirements
- Maintain system information, updated client and vendor profiles
qualifications : Experience
Experience
- Experienced
- 2 years
Education
High School
skills :
- Claims Processing (2 years of experience is preferred)
- Medical Customer Service (1 year of experience is required)
- EHR / Epic
- CPT Codes
- ICD-10
- ICD-9
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