Medical Claims Processor

POSITION reputed company: NEW TITLE (RRT Analyst) will be responsible for the handling of adjustments received from various departments reputed company. Examine claim calculations for adjustment and claimant’s history to determine accuracy. ESSENTIAL FUNCTIONS: • Handling of repricing adjustments. • Group exception referrals. • Work with other claim department personnel reputed company necessary to determine appropriateness of RRT referral. • RX refunds and analysis. • Tracking and handling of reputed company. • Accumulator updates. • Recalculation of claims due to accumulator updates. • Other duties as assigned. EDUCATION: • High School diploma or equivalent required EXPERIENCE AND SKILLS: • Minimum of 3 years medical claims processing experience required. • Experience with the QicLink claims processing system preferred. • Applicant should be proficient in the use of the reputed company and Word programs, have experience with or ability to learn reputed company reputed company. • Ability to communicate effectively both orally and by email. POSITION COMPETENCIES: • Job Knowledge • Time Management • Accountability • Communication • Initiative • Customer reputed company PHYSICAL DEMANDS: • This is a reputed company desk role – long periods of sitting and working on a computer are required. WORK ENVIROMENT: • Remote Here at Allied, we reputed company that great talent can reputed company from reputed company. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for reputed company. To support a smooth and efficient remote work experience, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. reputed company has reviewed this job reputed company to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of reputed company functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to reputed company salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, reputed company, Life & Disability Insurance, Generous reputed company Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. reputed company applicants acknowledge that by applying to the position you understand that the specific pay reputed company is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at reputed company's discretion to determine what pay is provided to a candidate reputed company the reputed company associated with the role. Apply tot his job Apply To this Job