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- Responsible for identifying errors and making the proper adjustments as needed,
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- Responsible for completion and accurate release of claims that require adjustments,
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- Excellent interpersonal skills and communication skills,
- Strong analytical skills,
- Must be detail oriented,
- Proficient computer skills with the ability to learn new software,
- Knowledge of Current Procedure Terminology (CPT) and ICD codes,
- Knowledge of preferred provider Organization (PPO) network experience preferred,
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Medical Claims Auditor - Newtown Square, United States - Midatlantic Employers' Association
Description
Job Description
Medical Claims Auditor / Trainer
(Health Insurance)
(CPT, ICD-10)
Newtown Square, PA
(Full Time, Permanent Role)
We are an established employer in Newtown Square, Delaware County, Pennsylvania, and are seeking a full-time Claims Auditor - Trainer to join our team.
This Non-Exempt position consists of a
37.50-hour work week with daily work hours of:
8:30am to 5:00pm, Monday through Friday.
About the role:
This position is responsible for auditing the Health Plan claims for accuracy including manually-processed claims as well as any claims that were adjudicated electronically via BlueCross, Guardian, Medicare Crossover and SDS.
The position is also responsible for any "in-house training" for all new claims employees or of existing claims personnel on any changes.
Key Responsibilities Include:
E.O.E./M/F/H/V
Experience and Skills
About You:
Job Benefits
We offer a Competitive salary, with excellent
"employer-paid" benefits such as:
401k
Defined Benefit Plan
Generous PTO
Holiday pay
Pleasant working environment.
