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Claims Examiner I

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Inficare Health Staffing

2024-09-21 18:37:38

Job location Irving, Texas, United States

Job type: all

Job industry: Other

Job description

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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