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| Job Role |
| Responsibilities: Reviews claims forms and documents for accuracy and completion and obtains missing information as necessary. Determines claims coverage by examining company records. Responsible for calculating claims amounts and submitting claims for payment. |
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| Medical Claims Processor |
| Instruction: Relies on instructions and pre-established guidelines to perform the functions of the job. Works under immediate supervision. Other wise relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A certain degree of creativity and latitude is expected. Skills and Experience: Requires a bachelor’s degree in area of specialty and 0-4 years of experience in the field or in a related area. Has knowledge of commonly-used concepts, practices, and procedures within particular field. Supervision: Typically reports to a supervisor or manager. |
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