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Claims Processor I/Claims Processor II

Company: KARNA
Location: Atlanta
Posted on: May 19, 2019

Job Description:

2019-2008US-GA-Atlanta
Category 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

PI109935970

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

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