Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
GENERAL NATURE OF WORK : Under general supervision, uses independent judgment and initiative to perform administrative and advanced clerical duties in support of an organizational unit or program area and / or in a specialized functional or activity area.
Interprets, explains and applies pertinent laws, rules, regulations, policies, procedures, standards and guidelines. May serve as a primary contact and information source for assigned organizational unit, program area or specialized function / activity.
Minimum typing speed of 50 words per minute and functional knowledge of computer and Microsoft Office. Experience in report preparation preferred.
Last updated : 2024-03-03
Clear All
0 Claims Processing Clerk jobs found in Albany, GA area