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Claims Rep III (Hlth & Dntl)_Pipeline

Company: Mindlance
Location: Cerritos
Posted on: June 23, 2022

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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