Medical Claims Examiner
4 weeks ago
We are seeking a skilled Claims Processor to join our team at Northwood, Inc.
Job Summary:
As a Claims Processor, you will be responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis, and reviewing all paperwork for proper documentation and payment of claims.
Key Responsibilities:
- Process claims for durable medical equipment and pharmaceutical claims submitted from contracted and out-of-network providers.
- Verify insurance coverage for date of service/diagnosis and review all paperwork for proper documentation and payment of claims.
- Work closely with healthcare providers and insurance companies to resolve claims-related issues.
- Ensure compliance with regulatory requirements and company policies.
About Northwood, Inc.
Northwood, Inc. plays an integral role in health plan benefit administration for durable medical equipment, prosthetics, orthotics, and medical supplies. We also serve auto and workers' compensation clients and their PIP claimants.
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