Claims Resolution Coordinator
6 days ago
Job Title: Claims Resolution Coordinator
Job Summary:
We are seeking an experienced Claims Resolution Coordinator to join our team. The successful candidate will be responsible for evaluating claims, encoding and simplifying diagnosis-data entry, conducting routine reconciliation of Outstanding Accounts with Providers, and ensuring all medical claims documents are properly filed and labeled.
Key Responsibilities:
- Evaluate claims received by checking the completeness of documents, necessity and reasonableness of expenses.
- Encode and simplify diagnosis-data entry for efficient processing.
- Conduct routine reconciliation of Outstanding Accounts with Providers to maintain accurate records.
- Ensure all medical claims documents are properly filed and labeled.
- Perform other duties and responsibilities as may be assigned by the immediate superior.
Qualifications:
- Graduate of Bachelor of Science (preferably medical course).
- Computer literate (knowledgeable in Microsoft Office).
- Relevant work experience is a plus.
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