What are the responsibilities and job description for the Medical Claims Auditor Position position at American Benefit Corporation?
Job Description
">">The American Benefit Corporation is seeking a skilled Claims Auditor to join our team. As a key member of our organization, you will be responsible for examining claims and determining benefits in accordance with plan provisions.
Key Responsibilities:
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- Examine claims and determine benefits in accordance with plan provisions ">">
- Follow through on problems or requests resulting from phone inquiries in accordance with policies and procedures ">">
- Provide claim totals to appropriate parties for bank transfers as needed ">">
- Maintain up-to-date claim information in group binders ">">
- File reinsurance claims for stop loss reimbursement ">">
- Test new groups or new benefits, which have been entered into the claims adjudication system for accuracy ">
Requirements:
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- Knowledge of all Microsoft Office programs ">">
- Familiarity with medical terminology, including anatomy ">">
- Ability to multi-task and concentrate in a large office environment ">">
- Bachelor's Degree in related field is preferred ">">