Claims Processor II-120754
Under direction supervision, this position is responsible for the adjudication of post service claims including all edits and financial calculations for payment to providers or members.
Minimum: One year experience in a claims environment.
Minimum: PC skills including keyboarding including 10 key by touch. Ability to read and understand Provider Contracts and apply basic math skills in accordance with contract terms. Ability to pass HIPAA test. Ability to work under pressure, independently and in a team environment.
Minimum: High school diploma or GED
Group Health is an Equal Opportunity Employer committed to a diverse and inclusive workforce.
Job: Administrative/Clerical Support
Organization: Case Management
Primary Location: WA - Seattle-Tukwila-Administrative Main Building
Bargaining unit: OPEIU West
Shift: Day Job
Days of shift: M-F
Hours of shift: 8-5
Job level: Individual Contributor
Job type: Standard
Employee status: Regular
Group Health Cooperative - 14 months ago
GHI is a statewide not-for-profit health insurer serving New Yorkers since 1937. GHI and its wholly-owned subsidiary, GHI HMO, provide healt...