Claims Specialist 2

$33,280 - $48,651/Yr

Prime Therapeutics - Cheyenne, WY

posted 11 days ago

Full-time - Entry Level
Cheyenne, WY
Administrative and Support Services

About the position

The Claims Specialist 2 is responsible for the accurate and timely processing of various claim types, ensuring compliance with claims payment policies and contractual agreements. This role requires a high level of detail and quality in claims adjudication, as well as the ability to resolve claims edits and maintain necessary reference materials.

Responsibilities

  • Adjudicates claims and adjustments as required.
  • Resolves claims edits and suspended claims.
  • Maintains and updates required reference materials to adjudicate claims.
  • Provides backup support to other team/group members in the performance of job duties as assigned.

Requirements

  • Experience in claims processing.
  • Ability to quickly use a 10-key machine.
  • Familiarity with ICD-9 codes and Current Procedural Terminology (CPT).
  • GED or High School diploma.

Benefits

  • Competitive pay ranging from $16.00 - $23.39 based on experience and skills.
  • Diverse and inclusive work environment.
  • Opportunities for career advancement.
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