Claims Specialist 2

$33,280 - $48,651/Yr

Prime Therapeutics - Trenton, NJ

Full-time - Entry Level

Trenton, NJ

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 attention to detail and the ability to resolve claims edits and suspended claims effectively.

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 range of $16.00 - $23.39 based on experience and skills.
• Diverse and inclusive work environment.
• Opportunities for career advancement.