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Claims Processor I/Claims Processor II

Company: KARNA
Location: Atlanta
Posted on: April 18, 2019

Job Description:

Claims Processor I/Claims Processor II 2US-GA-AtlantaCategory Public HealthType Temporary Full Time Overview Karna is working to staff a temporary, full-time opening in support of a CDC (Centers for Disease Control & Prevention)/NIOSH (National Institute for Occupational Safety & Health) contract. This temporary position will offer a qualified candidate a great opportunity to work on a major public health project. If you meet the requirements of this announcement and possess the ability to work in a team environment as well as independently, please apply soon. Responsibilities Duties for the Claims Processor I/Claims Processor II include: Resolving pended healthcare claims, prior approval requests and responding to providers. Analyzing claims to determine whether or not the claims should be approved or denied for payment. Reviewing and addressing provider inquiries regarding claim adjudication. Applying knowledge of medical coding and various medical claims forms to the claims process. Qualifications Required Experience: HS Diploma required 2-5 years of medical claims processing experience Experience with medical coding to include, diagnosis coding and terminology Ability to multi-task and follow documented claims processes Capability to prioritize and organize work assignments to meet deadlines Position is centered on meeting quality and production claim adjudication objectives Able to work independently and with little supervision Ability to work as part of a team Proficient with MS Office skills, particularly Excel Excellent oral and written communication skills Strong attention to detail and the ability to make appropriate decisions based on the information presented Previous CDC/NIOSH experience strongly preferred Ability to obtain and maintain required clearance PM18

Keywords: KARNA, Atlanta , Claims Processor I/Claims Processor II, Other , Atlanta, Georgia

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