![]() ![]() Time management skills and the ability to work independently are essential for this role.Flexibility to work variable days and hours.Maintain a working knowledge of our clients requirements.Ensure privacy, confidentiality, and precision with all work.Document all claimant information, communications in CRM system.Practice all policies and procedures to PHI and HIPAA.Maintain and follow-up on pending files, as required by guidelines.Connect with applicants to guide them through the claim process.Review supporting documentation for accuracy.Responsible for researching and resolving escalated and complex claim issues in a timely manner.Adjudicate claims within guidelines ensuring the benefit eligibility is correctly determined. ![]() Claimant acknowledgement and establishment of new claims assigned daily.This position is responsible for the accurate review, input and adjudication of claims. ![]()
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