Health Claims Processor
2 weeks ago
Elevance Health is seeking a skilled Claims Resolution Specialist to join our team. As a Claims Resolution Specialist, you will be responsible for processing health claims in accordance with claims policies and procedures.
Key Responsibilities- Key health claims in accordance with claims policies and procedures.
- Process claims with a good understanding of benefit contracts, pricing, processing, policies, procedures, government regulations, coordination of benefits, healthcare terminology, and adjust claims.
- Review, analyze, and process claims/policies related to events to determine the extent of the company's liability and entitlement.
- Research and analyze claims issues.
- Respond to inquiries, may involve customer/client contact.
- High School diploma or equivalent and a minimum of 1 year of claims processing experience.
- Previous experience using PC, database system, and related software (word processing, spreadsheets, etc.).
- Any combination of education and experience which would provide an equivalent background.
- FHPS experience.
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Marquand, Missouri, United States Elevance Health Full time{"title": "Health Claims Processor", "content": "Job SummaryWe are seeking a skilled Health Claims Processor to join our team at Elevance Health. As a key member of our claims processing team, you will be responsible for processing health claims in accordance with claims policies and procedures.Key Responsibilities:Process health claims in a timely and...
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