Claims Processing Clerk I - Healthcare

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Claims Processing Clerk I - Healthcare receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk I - Healthcare produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk I - Healthcare typically reports to a supervisor. The Claims Processing Clerk I - Healthcare works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience.