Hospital Claims Processor V
1199SEIU Funds
- Seniority
- Staff
About the role
Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate hospital claims manually or through claims work flow Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve discrepancies Finalize hospital claims by applying knowledge of eligibility, benefits, pre-authorization rules, contractual policy and operational procedures Review, finalize and respond to call tracking tickets in a …
Read the full description on the original posting.
Perks & benefits
- Medical Insurance
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