| Claims Processing Clerk I - Healthcare Job Description |
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| The following is a full job description for Claims Processing Clerk I - Healthcare. Here are the requirements and responsibilities for Claims Processing Clerk I - Healthcare along with statistics. If after reading this page you determine that Claims Processing Clerk I - Healthcare is not the position you are looking for, you may want to try one of these similar titles: Claims Processing Clerk I - Healthcare, Claims Clerk I, Claims Processing Clerk III - Healthcare, Claims Clerk IV, Claims Processing Clerk II - Healthcare, Claims Clerk II, Claims Clerk III, Claims Processing Supervisor - Healthcare, Claims Processing Director - Healthcare, Claims Processing Manager - Healthcare |
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| Requirements and Responsibilities For Claims Processing Clerk I - Healthcare |
| Performs data entry and clerical tasks to support the accurate and timely processing of healthcare claims. Enters claim, member, and provider information into the claims system and verifies accuracy and completeness. Reviews claims for required documentation and routes them according to established processing guidelines. Maintains and organizes claim files, correspondence, and supporting records. Responds to routine inquiries regarding claim status from providers, members, and internal staff. Follows established procedures and escalates non-routine matters to senior staff. Requires a high school diploma. Typically reports to a supervisor. Works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. |
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| Also referred to as: Healthcare Claims Clerk I, Medical Claims Operations Clerk I |
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| Similar Jobs: Claims Processing Clerk I - Healthcare, Claims Clerk I, Claims Processing Clerk III - Healthcare, Claims Clerk IV, Claims Processing Clerk II - Healthcare, Claims Clerk II, Claims Clerk III, Claims Processing Supervisor - Healthcare, Claims Processing Director - Healthcare, Claims Processing Manager - Healthcare |
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| Level of Education: Claims Processing Clerk I - Healthcare Salaries with a High School Diploma or Technical Certificate, Claims Processing Clerk I - Healthcare Salaries with an Associate's Degree, Claims Processing Clerk I - Healthcare Salaries with a Bachelor's Degree, Claims Processing Clerk I - Healthcare Salaries with a Master's Degree or MBA, Claims Processing Clerk I - Healthcare Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
