About this role
Role Overview
- partners with professional staff on pre-screening review by applying guidance
- makes appropriate decision which may include interpretation of provider information or data
- focuses on methods, tactics and processes for completing administrative tasks/projects
- regularly exercises discretion and judgment in prioritizing requests and interpreting procedures
Requirements
- Fully Bilingual in Spanish/English
- Minimum of 1 year of strong and proven experience with processing and adjudicating medical claims
- Knowledge with CPT, ICD9, and ICD10 terminology/codes
- Proficiency in Microsoft Office applications including Word, Excel and Outlook
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability insurance
- life insurance