Claims Processing Clerk II - Healthcare receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk II - Healthcare produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk II - Healthcare typically reports to a supervisor. The Claims Processing Clerk II - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Claims Processing Clerk II - Healthcare typically requires 1-3 years of related experience.
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