Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
POSITION SUMMARY:
Perform processing duties which may include photocopying, balancing activities, data entry and encoding of deposits, generation of reports and statements, sorting of incoming work, mailing material to customers and operating departmental machines (Opex 150, Opex 50/51, NCR 7780, Mail Sorter Machine, Pitney Bowes Postage Machine). The Associate may also perform a majority of the listed functions.
DUTIES AND RESPONSIBILITIES:
EXPERIENCE AND QUALIFICATIONS:
Completion of high school or GED preferred
KNOWLEDGE, SKILLS AND ABILITIES:
PHYSICAL DEMANDS: