Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Claims Processor II
Job Description Summary
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Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.
Job Description
- Adjudicates claims and adjustments as required.
- Resolves claims edits and suspended claims.
- Maintains and updates required reference materials to adjudicate claims.
- Provides backup support to other team/group members in the performance of job duties as assigned.
Responsibilities
- Ability to quickly use a 10-key machine
- Experience with list of ICD-9 codes and Current Procedural Terminology (CPT)
Work Experience
Work Experience - Required:
Claims
Work Experience - Preferred:
Education
Education - Required:
GED, High School
Education - Preferred:
Certifications
Certifications - Required:
Certifications - Preferred:
Potential pay for this position ranges from $15.29 - $22.93 based on experience and skills. Pay range may vary by 8% depending on applicant location.Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.
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