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Claims Processor I

Company: Cenpatico
Location: Rocky Mount
Posted on: October 15, 2020

Job Description:

Claims Processor I USA-North Carolina-Rocky Mount Position Purpose: * Scan, track and process claims, documents, and claims correspondence. * Research claim error reports to ensure quality and production standards are met. * Ensure claims and correspondence are retrieved, sorted, logged, and scanned according to established procedures * Process claims daily to include performing Intelligent Key Entry (IKE) and Validation (VAL); processing batch files including Optical Character Recognition (OCR), Electronic Data Interface (EDI) or other electronic submissions such as 837 files; processing offline claims including member receipts * Process outgoing mail and track postage use, including FedEx/UPS shipments, and prepare daily reports * Maintain folding machine and postage machine * Assist with close out mailings including Explanation of Benefits (EOB), checks, and correspondence * Assist with updates and changes to procedures in the workflow * May be required to lift up to 20 lbs. on a regular basis Education/Experience: * High school diploma or equivalent. * 6 months of medical office claims or processing experience. * Working knowledge of claims processing methodology. Claims Operations Full-time

Keywords: Cenpatico, Rocky Mount , Claims Processor I, Other , Rocky Mount, North Carolina

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