Claims Representative I (Health & Dental)
Location: Must live within 50 miles of the Mason, OH, Norfolk, VA, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL PulsePoints.
The Claims Representative I (Health & Dental) is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists, and managers on non-basic issues. Must pass the appropriate pre-employment test battery.
How you will make an impact:
- Learning the activities/tasks associated with his/her role.
- Works under direct supervision. Relies on others for instruction, guidance, and direction.
- Work is reviewed for technical accuracy and soundness.
- Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
- Researches and analyzes claims issues.
Minimum Requirements:
- Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
- Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
- Claims experience highly preferred.
- Medicare and Medicaid experience highly preferred.
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