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Processor, Claims I

Company: Hornet Staffing
Location: Nashville
Posted on: January 27, 2023

Job Description:

Duties
Onsite


  • Responsible for the accurate and timely processing of claims.
  • 75% Researches and processes claims according to business regulation, internal standards and processing guidelines.
  • Verifies the coding of procedure and diagnosis codes.
  • 20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
  • 5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

    Required Skills and Abilities:


    • Strong analytical, organizational and customer service skills.
    • Strong oral and written communication skills.
    • Proficient spelling, punctuation and grammar skills.
    • Good judgment skills. Basic business math skills.

      Required Software and Tools:


      • Basic office equipment.

        Preferred Software and Other Tools:


        • Proficient in word processing and spreadsheet applications.
        • Proficient in database software.

          Work Environment:


          • Typical office or home environment.


            Required


            • ACCURATE DATA ENTRY
            • PROCESSOR
            • CLAIMS




              Additional


              • DATABASE
              • INSURANCE ENVIRONMENT
              • CUSTOMER SERVICE ORIENTED




Keywords: Hornet Staffing, Nashville , Processor, Claims I, Other , Nashville, Tennessee

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