Claims Examiner I (Remote within Wisconsin)
About the position
Responsibilities
• Examine claims for accurate processing.
• Provide high quality customer service to providers.
• Apply appropriate processing guidelines to benefit plans.
• Follow established departmental, organizational and external policies and procedures.
• Process claims and resolve claim issues, escalating when applicable.
Requirements
• High school diploma or equivalent.
• One year experience in the medical or insurance industry, or two years of customer service experience in lieu of medical experience.
• Successful completion of required courses within one year of hire: CPT, ICD, HCPCS, and medical terminology.
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