Job description
Job Summary:
Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service.
Education - Required:
Experience - Required:
Experience - Preferred:
Knowledge, Skills, and Abilities - Required:
Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service.
Education - Required:
- High School Diploma/GED
Experience - Required:
- 2 years Experience in the insurance/healthcare industry and
- 2 years Experience in CPT, HCPC, ICD-10 codes and
- 2 years Previous claims adjudication experience and
- 2 years Previous direct claim experience handling group health claims
Experience - Preferred:
- 2 years TPA claims processing experience
Knowledge, Skills, and Abilities - Required:
- Ability to function under pressure and deadlines.
- Must possess the initiative to identify and carry out responsibilities to their completion.
- Strong problem solving abilities and analytical skills.
Location: Lehigh Valley Health Network ยท Group Health Admin Svcs
Schedule: Full Time 40 hours, Day Shift, M-F; 8:00a-4:30p
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