What are the responsibilities and job description for the Claims Specialist position at VirtualVocations?
A company is looking for a Claims Specialist I to resolve medical claims that are not automatically adjudicated.Key ResponsibilitiesProcess and resolve pended claims by entering data, reviewing contract benefits, and determining benefit eligibilityEngage in continuous learning to stay updated on processing procedures, benefits, and system modificationsPerform additional duties as assigned while ensuring the security and confidentiality of records and informationRequired Qualifications, Training, and EducationHigh School diploma or equivalent requiredMinimum two years of college coursework in a related field or one year of relevant office experienceMust pass a company proficiency test : Claims AssessmentKnowledge of anatomy, medical terminology, and claims processing is preferredAbility to access and utilize relevant computer systems for accurate claims processing
