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Claims Specialist

Glen Allen, VA

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Description

We have IMMEDIATE openings for Claims Specialist to join the team of a growing insurance company located in Richmond, VA.

This position is responsible for all research and resolution of claims inquiries. 

 

Responsibilities:

  • Research and resolve claims issues
  • Coordinate claims resolutions between departments
  • Processing reconsiderations received from providers
  • Process and adjust claims for accuracy
  • Create letters regarding resolution findings

Job Requirements

  • Minimum 1 year claims processing/healthcare billing experience
  • Strong organizational, written, and verbal skills
  • Experience with IDX and QNXT Claims systems
  • Exposure to health care environment and knowledge of CMS 1500 and UB04 claim forms
  • CPT-4, HCPCS coding and ICD10 knowledge
  • Ability to work independently and in a team environment
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