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Claims Analyst
Location:
Pittsburgh, PA
Description:
Job Title: Claims Analyst Job Location: Pittsburgh, PA Job Type: Full Time Job Description: Process pended medical claims, verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility. Ensure payments and/or denials are made in accordance with company practices and procedures. Apply policy and provider contract provisions to determine if claim is payable, if additional information is needed, or if claim should be denied. Claims processing may be related to physician and hospital services, coordination of benefits (COB), high dollar, special pricing, refunds and/or adjustments on resubmitted claims. Research and determine status of medical related claims Review charges, access the computer system and use payment or denial codes within established department guidelines and standards Clarify health insurance coverage for coordination of benefits to process claims Maintain records, files, and documentation as appropriate Meet department production and quality standards Qualifications: 1+ years of claims processing, medical billing, administrative, customer service, call center, or physician's office or other office services experience. Experience operating a 10-key calculator and computers. A bility to perform basic math functions and reason logically. Working knowledge of ICD-9, CPT, HCPCs, revenue codes, and medical terminology preferred. Experience with Medicaid or Medicare claims preferred. Interested candidates can send their updated resumes at XXXX@gloabl-itech.com Job Posted by ApplicantPro
Company:
Global Information Technology
Posted:
December 27 2023 on ApplicantPool
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More About this Listing: Claims Analyst
Claims Analyst is a Jobs Analyst Job at Global Information Technology located in Pittsburgh PA. Find other listings like Claims Analyst by searching Oodle for Jobs Analyst Jobs.
Claims Analyst is a Jobs Analyst Job at Global Information Technology located in Pittsburgh PA. Find other listings like Claims Analyst by searching Oodle for Jobs Analyst Jobs.