Claims Processor I - CHOC MSO Job at Rady Children's Hospital-San Diego

Rady Children's Hospital-San Diego San Diego, CA

JOB SUMMARY:
The primary purpose of this position is to examine & process uncomplicated claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all capitated & shared services accounts. This position is responsible for the accurate review, input & adjudication of claims using reasonable payment policies & methodologies that are consistent with & recognized by Health Plans, nationally recognized medical organizations, federal regulatory bodies, & contractual obligations of the organization.

MINIMUM QUALIFICAITONS:
H.S. Diploma, GED, or Equivalent
1 Year of Experience


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