Senior Claims Examiner
Senior Claims Examiner
Mashantucket Pequot Tribal Nation
Job Details
Description
Under the supervision of the Manager, the incumbent adjudicates claims and provides phone and/or casino onsite coverage for all member and provider interactions. Accountable for the status of claim age for all group evaluation and daily work flow. Makes adjustments daily to ensure standards are met. High school diploma or GED required. One (1) year of college level anatomy or pre-med classes or advanced medical terminology training, including ICD10 and CPT Coding with a one (1) year experience in medical claims processing or two (2) years medical claims processing experience required. Must word processing and data entry skills. Must have the ability to train employees and familiarity with HIPAA guidelines. Experience with Trizetto QicLink or VBA claims system preferred.
To apply, visit https://apptrkr.com/5669726
THE MASHANTUCKET PEQUOT TRIBE PRACTICES TRIBAL AND NATIVE AMERICAN PREFERENCE (33 M.P.T.L.) IN HIRING AND IS AN EQUAL OPPORTUNITY EMPLOYER.
Required degree level
- General Education Development
Years of experience
- 1 - 2 Years
