Responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims
Review and compare information in computer systems and apply proper codes/documentation. May place outgoing calls to providers and/or pharmacies for further investigation before processing claims.Must have High School Diploma or GED. Data Entry and/or typing experience. Clear and concise written and verbal communication skill. Ability to multi task and prioritize is required. JP#3524279