Claims Processor

Job Description 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.