Claims Processor Adjudicator - Pueblo Colorado

Company: VirtualVocations
Location: Pueblo, Colorado
Posted On: 11/15/2024

A company is looking for a Claims Processor/Adjudicator to review and process claims for completeness and validity.



Key Responsibilities

Review claims for accuracy in data entry and provider coding
Request additional information to complete claim adjudication
Document findings and assist internal associates with claims-related questions


Required Qualifications

High school diploma or equivalent
Two or more years of experience in health insurance claims processing preferred
Experience with HCFA 1500 claims processing
Knowledge of medical terminology and ability to interpret insurance contracts
Familiarity with ICD-10 and CPT coding is a plus More...

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