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)
OVERALL RESPONSIBILITIES:
MINIMUM QUALIFICATIONS:
Must be detail and goal oriented, organized, possess strong written and verbal communication skills, strong interpersonal skills, display time management skills and the ability to juggle and prioritize workload, and work well with others. Computer skills required. Background in healthcare-related industry and knowledge of medical third party billing preferred. Knowledge of Microsoft Word and Excel helpful.
CONTINUING EDUCATION: