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Claims Processor (2005-08-23)

Call Center Company: Summersault, Inc.

Description:
Summersault, Inc. is looking for individuals who are qualified for the position of Claims Processor. Successfuly applicants for Claims Processor will have a great career in Summersault, Inc..

Responsibilities:

Reviews supporting documents to determine validity of medical claims.
Encodes information into computerized claims system.
Identifies problems with claims (e.g., missing documents) and follow SOP for escalation.
Encodes ICD code and adjudicates claims.
Reports all necessary information to the Claims Processing Supervisor such as system errors, dubious claims, etc.

Requirements:

Nursing graduate or any allied medical profession, such as Physical Therapy, Occupational Therapy, Medical Technology, and Pharmacy.
Must be familiar with medical English.
Preferably with 2 years work experience in a clinical or hospital setting.
Knowledge in MS Office applications.
Typing speed of 30+ words/minute.
Performance oriented.
Must have an eye for detail.