Claims Specialist 2

$33,280 - $48,651/Yr

Prime Therapeutics - Boston, MA

Full-time - Entry Level

Boston, MA

Administrative and Support Services

About the position

The Claims Specialist 2 is responsible for the accurate and timely processing of all claim types, ensuring high-quality detail and adherence to claims payment policies and contractual agreements. This role involves adjudicating claims, resolving edits and suspensions, and maintaining necessary reference materials, while also providing support to team members as needed.

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.

Nice-to-haves

• Certifications related to claims processing.

Benefits

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