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Claims Processor I
Ref No.: 18-07878
Location: Cambridge, Massachusetts
Start Date / End Date: 08/06/2018 to 12/09/2018
Job Summary:
Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.

Essential Functions:

- Adjudicate claims and adjustments as required.
- Resolve claims edits and suspended claims.
- Maintain and update required reference materials to adjudicate claims.
- Provide backup support to other team/group members in the performance of job duties as assigned.
- Open incoming mail
- Date Entry

Requirements/Certifications:
Requirements:
- HS Diploma/GED
- Ability to quickly use a 10-key machine
- Experience with list of ICD-10 codes and Current Procedural Terminology (CPT)
- Experience with Microsoft Office Software