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Medical Claims Processor

Company: VirtualVocations
Location: Saint Paul
Posted on: September 15, 2023

Job Description:

A company is looking for a Medical Claims Processor.
Key Responsibilities:

Review and compare data in the claim processing system with corresponding paper or electronic medical information
Determine if services rendered were medically appropriate and met criteria by reviewing medical records when necessary
Review claim edits and warning messages to make decisions on claim payment

Required Qualifications:

Minimum of 1 year of claims processing experience
High School degree or GED or equivalent experience
Knowledge of physician practice and hospital coding, billing, and medical terminology
Experience with UB/institutional and/or professional claims
Knowledge of Medicare billing and payment guidelines and regulations

Keywords: VirtualVocations, St. Paul , Medical Claims Processor, Healthcare , Saint Paul, Minnesota

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