CLAIMS PROCESSOR, Grade 6 Job in Oakland, California US
CLAIMS PROCESSOR, Grade 6Essential Functions: – Review, evaluate and screen Health Plan claims for completeness, accuracy and conformity to established policies and procedures. – Make payment or denial decisions in accordance with policy and procedures of Health plan Claims Department. – Authorize payments of claims in an amount based on authorization level guidelines. – Review and evaluate complex claims involving Medicare, contracts, other insurance, workers compensation, foreign claims and coordination of benefits. Qualifications: Qualifications: Basis Qualifications: – High School, GED – 2 Read more […]
March 21, 2011
• Tags: California Us, CLAIMS PROCESSOR, Grade 6 Job in Oakland • Posted in: General • Comments Off on CLAIMS PROCESSOR, Grade 6 Job in Oakland, California US