Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
GENERAL NATURE OF WORK : Under general supervision, uses independent judgment and initiative to perform administrative and advanced clerical duties in support of an organizational unit or program area and / or in a specialized functional or activity area.
Interprets, explains and applies pertinent laws, rules, regulations, policies, procedures, standards and guidelines. May serve as a primary contact and information source for assigned organizational unit, program area or specialized function / activity.
Minimum typing speed of 50 words per minute and functional knowledge of computer and Microsoft Office. Experience in report preparation preferred.
Last updated : 2024-03-03
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