Offer summary
Qualifications:
High School Graduate or equivalent, Minimum of two years medical claims analysis experience, Knowledge of CPT and ICD-10 coding, Strong analytical skills and computer knowledge, Prior experience with Third-party Administrator preferred.
Key responsabilities:
- Process Medical and Dental claims in QicLink system
- Review, analyze, and determine payment for claims
- Ensure compliance with privacy and security laws
- Authorize payment or denial after independent analysis
- Support other Claim Specialists and attend training classes