Claims Processor I - PGBA
: Job Details :

Responsible for the accurate and timely processing of claims. Description Logistics: This is a Full-Time position (40 hours) Monday-Friday. What Youll Do:Research and process claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. Resolve system edits, audits and claims errors through research and use of approved references and investigative sources. Coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. To Qualify for This Position, Youll Need:High School Diploma or equivalent. Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation, and grammar skills. Good judgment skills. Basic business math skills. What We Prefer:1 year-of experience in a healthcare or insurance environment. Ability to u...Claims Processor, Processor, Claims, Processing, Healthcare, Skills