Posted 3 months ago
Sr. Paper Claims QC Analysts
AI Summary
Reviews scanned paper claims and OCR-extracted data for completeness and accuracy, corrects and validates information across claims systems, and re-loads corrected claims into adjudication systems.
About this role
Sr. Paper Claims QC Analysts
shijo
KRG Technologies, Inc.,
shijo(at)krgtech.com
25000 Avenue Stanford, Suite #243, Valencia, CA 91355
Direct : 661-367-8000 Ext : 203
Role: Sr. Paper Claims QC Analysts
Location: Scottsdale, AZ
• Review the scanned paper claims document and extracted information in an OCR application to ensure that there is no missing or incomplete information
• Review couple of claims systems to identify the missing information and accurately capture the data/information necessary for processing
• Correct the data elements extracted in OCR Application for self-learning where needed
• Validate the claims that fall out while pre-load batch job into adjudication system, correct and re-load.
Qualifications
Review the scanned paper claims document and extracted information in an OCR application to ensure that there is no missing or incomplete information
• Review couple of claims systems to identify the missing information and accurately capture the data/information necessary for processing
• Correct the data elements extracted in OCR Application for self-learning where needed
• Validate the claims that fall out while pre-load batch job into adjudication system, correct and re-load.
Skills
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