Provider Enrollment Analyst
New
Remote USFull-Time
Salary not disclosed
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Job Details
- Required Skills
- Data Analysis
Requirements
- Knowledge of the fundamental concepts and principles in the medical and/or insurance fields
- Basic reading and analysis skills to evaluate claims and make adjudication decisions
- Basic computer use skills
- Ability to multi-task across multiple claims to work efficiently
- Ability to work independently to meet individual production goals
Responsibilities
- Support the Business Process Services team in claims processing that adheres to policy guidelines
- Meet production and quality requirements established by clients for timely claims processing
- Evaluate why a claim errored using policy guidelines and criteria
- Make an adjudication decision based on evaluations
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