Claims Processing Clerk II - Healthcare

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Claims Processing Clerk II - Healthcare performs data entry and clerical tasks to support the accurate and timely processing of healthcare claims. Enters claim, member, and provider information into the claims system and verifies accuracy and completeness. Being a Claims Processing Clerk II - Healthcare reviews claims for required documentation and routes them according to established processing guidelines. Maintains and organizes claim files, correspondence, and supporting records. Additionally, Claims Processing Clerk II - Healthcare responds to routine inquiries regarding claim status from providers, members, and internal staff. Follows established procedures and escalates non-routine matters to senior staff. Requires a high school diploma. Typically reports to a supervisor. The Claims Processing Clerk II - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Claims Processing Clerk II - Healthcare typically requires 1-3 years of related experience.