Posted 108 months ago
Claims Processor
AI Summary
A contract Claims Processor at Integrated Resources adjudicates and processes all claim types, resolves edits and suspended claims, maintains reference materials, and provides backup support to ensure timely, policy-compliant claim settlement.
About this role
Claims Processor
Description:
Responsible and accountable for the accurate and timely claims processing of all claim types. 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.
Essential Functions:
- Adjudicate claims and adjustments as required.
- Resolve claims edits and suspended claims.
- Maintain and update required reference materials to adjudicate claims.
- Provide backup support to other team/group members in the performance of job duties as assigned.
·Requirements/Certifications:
- Ability to quickly use a 10-key machine- Experience with list of ICD-9 codes and Current Procedural Terminology (CPT) Claims
High School (Required) GED (Required)
Additional Information
All your information will be kept confidential according to EEO guidelines.
