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Claims Analyst 1
2 months ago
*Job Description* • Learn how to research why medical claims are stuck in the Pre-Payment Review Database. (PPRD) and clear the issue such as a member match problem so the claim can go to a trained Claims Analyst for adjudication. Will train as claims processor if PPRD training and work is at quality and production standard within 4 months. *Additional Skills & Qualifications:* Required Skills/Experience: 1. Medical Claims processing.-1 year exp Medical billing & coding knowledge/exp Must have high speed internet connection at home 2. Research capability 3. Self-starter, attention to detail Software Skills Required: Computer programs like Outlook, Microsoft and excel. Ability to learn internal programs quickly. Preferred Skills/ Experience:
- MUST Computer programs like Outlook, Microsoft, and Excel.
- Medical office training is a plus.
