Claims Examiner

DTG Consulting Solutions, Inc. • englewood, nj, us • 1d ago

Responsibilities:

Review and process health care claims promptly and accurately
Verify claim details using CPT and ICD codes
Address inquiries from providers, members, and insurers regarding claim status
Ensure compliance with internal policies and regulatory requirements
Maintain detailed and accurate documentation of claim processing
Collaborate with team members to resolve any discrepancies

Qualifications:

Proven experience in processing health care claims
Knowledge of CPT, ICD codes, and medical billing procedures
Insurance certifications are an asset
Spanish language is MUST
Strong analytical and problem-solving skills
Excellent member services and phone skills
Excellent communication and organizational abilities

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