| Claims Processing Clerk II - Healthcare Job Description |
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| The following is a full job description for Claims Processing Clerk II - Healthcare. Here are the requirements and responsibilities for Claims Processing Clerk II - Healthcare along with statistics. If after reading this page you determine that Claims Processing Clerk II - Healthcare is not the position you are looking for, you may want to try one of these similar titles: Claims Processing Clerk II - Healthcare, Claims Processing Clerk III - Healthcare, Claims Processing Clerk I - Healthcare, Claims Clerk II, Claims Clerk IV, Claims Processing Supervisor - Healthcare, Claims Clerk I, Claims Clerk III, Claims Processing Manager - Healthcare, Claims Processing Director - Healthcare |
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| Requirements and Responsibilities For Claims Processing Clerk II - 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 moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience. |
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| Also referred to as: Healthcare Claims Clerk II, Medical Claims Operations Clerk II |
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| Similar Jobs: Claims Processing Clerk II - Healthcare, Claims Processing Clerk III - Healthcare, Claims Processing Clerk I - Healthcare, Claims Clerk II, Claims Clerk IV, Claims Processing Supervisor - Healthcare, Claims Clerk I, Claims Clerk III, Claims Processing Manager - Healthcare, Claims Processing Director - Healthcare |
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| Level of Education: Claims Processing Clerk II - Healthcare Salaries with No Diploma, Claims Processing Clerk II - Healthcare Salaries with a High School Diploma or Technical Certificate, Claims Processing Clerk II - Healthcare Salaries with an Associate's Degree, Claims Processing Clerk II - Healthcare Salaries with a Bachelor's Degree, Claims Processing Clerk II - Healthcare Salaries with a Master's Degree or MBA, Claims Processing Clerk II - Healthcare Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
