Processor IV
1199SEIU Funds
- Seniority
- Staff
About the role
Responsibilities: • Review suspense reason of medical claims and determine actions to be taken to handle edit • Verify information entered in Medical claims system (QNXT) is correct, including patient’s name, provider tax identification number and suffix, diagnosis and procedure codes • Access medical claim image and other reference materials as appropriate • Apply contractual benefits, medical policy, and operational procedures to finalize claim • Handle adjustments and reversals of previously …
Read the full description on the original posting.
Perks & benefits
- Medical Insurance
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