Full job description Description: ? Accurately keys claims data into the claims processing system and resolves routine edits up to assigned complexity, according to established Claims Department policies and procedures.
? Performs assigned workload within established timeframes to assure Claims turnaround time goals are met.
? Resolves issues before claims payment to avoid re-adjudication.
? Refers complex claims or claims falling out of standard policies and procedure guidelines to Team Leader.
? Performs other duties as assigned.
? Protects privacy and maintains confidentiality of sensitive employee, participant, and agency information.
? Meets departmental performance goals, which are measured by meeting claims turnaround time, individual productivity, quality, and accuracy of work completed.
Skills: Health care, Electronic health record, Electronic medical record, Medicare, Medicaid
Top Skills Details: Health care, Electronic health record, Electronic medical record, Medicare, Medicaid
Additional Skills & Qualifications: healthcare, insurance, Medicaid
About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
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Hiring diverse talent Maintaining an inclusive environment through persistent self-reflection Building a culture of care, engagement, and recognition with clear outcomes Ensuring growth opportunities for our people The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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