Versant Health · 3 hours ago

Claims Processor III

United States

Full-time

Remote

Entry Level

$20.50/hr - $20.50/hr

1+ years exp

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Responsibilities

Performs data entry and verification of incoming paper claims

Processes all claim submissions for adjudication and payment

Research and resolves claim discrepancies utilizing business knowledge, training, and internal guidelines

Supports other departments concerning claims related questions

Meets required performance guarantee deadlines, company objectives and production and quality standards

Adheres to privacy and confidential and proprietary company policies and procedures (i.e. HIPAA)

Participates in training and educational activities necessary to meet the requirements of the position to include production and quality standards and department goals

Completes any activities necessary for the maintenance of professional affiliations or organizational requirements

Regular reliable attendance is required

Other duties as assigned

Qualification

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Claims ProcessingCompuVision/CVX SystemMACESS Claims Management SystemHIPAA ComplianceICD CodesCPT CodesData EntryMicrosoft OfficeClaims ResearchClaim AdjustmentsClaims Reconciliation