Claims Rep III (Hlth & Dntl)_Pipeline
Company: Mindlance
Location: Cerritos
Posted on: June 23, 2022
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Job Description:
Job DescriptionResponsible for keying, processing and/or
adjusting health claims in accordance with claims policies and
procedures. Must be able to successfully perform all the duties of
the Claims Rep II. Primary duties may include, but are not limited
to: Participate in claims workflow projects. Responds to telephone
and written inquiries and initiates steps to assist callers
regarding issues relating to the content or interpretation of
benefits, policies and procedures, provider contracts, and
adjudication of claims. Adjusts voids and reopens claims on-line
within guidelines to ensure proper adjudication. May have
customer/client contact. May assist with training of staff. Works
without significant guidance. Requires a HS diploma; 3-5 years of
the companies internal claims experience; or any combination of
education and experience, which would provide an equivalent
background.
Keywords: Mindlance, Cerritos , Claims Rep III (Hlth & Dntl)_Pipeline, Other , Cerritos, California
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