Analyze claims to determine the extent of insurance carrier liability and interpret contract benefits in accordance with specific claims processing guidelines
Job Summary
Analyze claims to determine the extent of insurance carrier liability and interpret contract benefits in accordance with specific claims processing guidelines.
Coordinate daily workflow to coincide with check cycle days to meet all service guarantees and understand the broad strategic concept of the business.
Integrity offers a rewarding and cutting-edge career in a family-like environment with a competitive compensation package and comprehensive benefits.
Matching Summary
Analyze claims to determine the extent of insurance carrier liability and interpret contract benefits in accordance with specific claims processing guidelines.
Skills & Requirements
Must-have
Health insurance claims adjudication experience
UB/institutional (CMS-1450) claims
HCFA/professional (CMS-1500) claims
Calculate deductible and co-insurance amounts
External contact with providers/agents/policyholders