Claims Specialist
Company: VirtualVocations
Location: Fremont
Posted on: November 6, 2024
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Job Description:
A company is looking for a Claims Specialist I to resolve
medical claims that are not automatically adjudicated.
Key Responsibilities
Process and resolve pended claims, including data entry and benefit
eligibility determination
Conduct investigations and communicate with internal staff and
medical providers to obtain necessary information
Maintain knowledge of processing procedures and stay current with
changes in benefits and systems
Required Qualifications
High School diploma or equivalent
Minimum two years of college coursework in a related field or one
year of relevant office experience
Must pass company proficiency test: Claims Assessment
Knowledge of anatomy, medical terminology, and related subjects is
preferred
Must adhere to security and confidentiality standards as outlined
in company policies
Keywords: VirtualVocations, Rancho Cordova , Claims Specialist, Other , Fremont, California
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