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.
Qualifications
Experience Requirements
Minimum: One year experience in a claims environment.
Preferred: None
Knowledge requirements
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.
Preferred: None
Education Requirements
Minimum: High school diploma or GED
Preferred: None
