Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
FUNCTION OVERVIEW:
As a Medical Claim Representative this position will be instrumental in analyzing and following up on billed medical claims to determine the appropriate course of action to resolve the claims.
FINANCIAL RESPONSIBILITIES:
Direct Accountability
Deliverables:
DUTIES:
Work an average of 40-50 Accounts per Day:
Works accounts with a 5% or less error ratio:
REQUIREMENTS:
Personality Traits
Sense of urgency
Detail Oriented
Analytical
Stable
Organized
Adaptable
Flexible
Positive
Thorough
Academics:
Work Experience:
Competencies:
Job Type: Full-time
Pay: $15.00 - $17.00 per hour
Benefits:
Schedule:
Work setting:
Experience:
Work Location: In person
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0 Claims Clerk jobs found in Temple, TX area