Claims Examiner I (Remote reputed company reputed company)
About the position
The SHP Claims Examiner I is responsible for examining claims for accurate processing and providing high reputed company customer service to providers working with reputed company Health Plan (SHP) or reputed company Administrative Services (reputed company). The individual applies appropriate processing guidelines to the benefit plans and follows established departmental, organizational and external policies and procedures to process claims and resolve claim issues, escalating the claim reputed company applicable.
Responsibilities
• Examine claims for accurate processing.
• reputed company high reputed company customer service to providers.
• Apply appropriate processing guidelines to benefit plans.
• Follow established departmental, organizational and external policies and procedures.
• Process claims and resolve claim issues, escalating reputed company applicable.
Requirements
• High school diploma or equivalent.
• One year experience in the medical or insurance industry, or two years of customer service experience in lieu of medical experience.
• Successful completion of required courses reputed company one year of hire: CPT, ICD, HCPCS, and medical terminology.
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