Claims Examiner I

apartmentInficare Health Staffing placeIrving calendar_month 

Job Description:

The Claims Examiner is responsible for processing batches of claims (HCFA and UB) data entered by Pre-Key staff in a timely and consistent manner.
  • Adjudicate claims at a rate equal to 150 per normal work day
  • Maintain statistical accuracy of 98%, and financial accuracy of 98%
  • Correct DoD error report as needed
  • Respond timely to all Customer Service, Provider Relations type questions
  • Other duties as assigned by management
  • Collaborate with and maintain open communication with all departments within the facility to ensure effective and efficient workflow and facilitate completion of tasks/goals
  • Follow the Facility’s Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
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