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1007 Medical Claim Expert

Tampa, FL
Healthcare Claim Processor
Tampa, FL
Job Duties: 
• Processing and adjudicating medical claims. 
• Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures. 
• Accurately resolving pending claims using state and federal regulations and specific health plan criteria. 
• Working within turnaround times to meet client performance guarantees for claims processing. 
• Meeting productivity and accuracy standards. 
• Adhere to specified TAT as defined by the business 

• High School diploma or equivalent 
• 1 year work experience required-Health Care 
• Strong typing skills with speed and accuracy 
• Microsoft Word, Excel and Outlook software knowledge 
• Team-oriented while also able to pursue personal and 
departmental production goals daily 
• Ability to organize in a multi-demand and multi-priority environment 
• Ability to work overtime as necessary 
• 1+ year of claims processing experience in Managed Health Care/Insurance experience is highly desirable
Shagun Sachdeva
Senior Technical Recruiter
Desk: 408-385-9607; Fax: 888-400-2698
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