Correct Care Solutions

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Medical Claims Processor

at Correct Care Solutions

Posted: 12/5/2018
Job Status: Full Time
Job Reference #: 18-54650

Job Description

Job: 18-54650
Location: Health Cost Solutions, TN, Hendersonville
Facility: Health Cost Solutions
Shift:
Job Type: Full-Time
Recruiter: Jennifer Bates
Email: JCBates@CorrectCareSolutions.com

Overview

Our Claims Processor will review and adjudicate claims verifying eligibility, approval of services, and accurate pricing.

Qualifications

Education:

  • Must have high school diploma or GED

Experience:

  • One (1) year of medical claim billing experience with knowledge of CPT4 and ICD10 codes or One (1) year of medical claims processing.

Licenses/Certifications:

  • None required

Responsibilities

  1. Completes accurate analysis of claim determination for payment or denial based on established rules and processes.
  2. Monitor claim inventory of assigned accounts and ensure turnaround and productivity benchmarks are met.
  3. Processes claims from returned pended claims reports and those containing claim edits.
  4. Manually prices claims based on specific rates.
  5. Audit peer’s work for continued cross training and education.
  6. The above responsibilities are a highlight of responsibilities and not a full list. Other responsibilities may be performed as assigned.


CCS is an EOE/Minorities/Females/Vet/Disability Employer

Application Instructions

To apply directly to Correct Care Solutions, please click the link below. Another window will open and allow you to apply online.