Claims Examiner
at DTG Consulting Solutions, Inc.
in
Englewood,
New Jersey
Posted in Other 7 days ago.
Type: full-time
Job Description:
Responsibilities:
- Review and process health care claims promptly and accurately
- Verify claim details using CPT and ICD codes
- Address inquiries from providers, members, and insurers regarding claim status
- Ensure compliance with internal policies and regulatory requirements
- Maintain detailed and accurate documentation of claim processing
- Collaborate with team members to resolve any discrepancies
Qualifications:
- Proven experience in processing health care claims
- Knowledge of CPT, ICD codes, and medical billing procedures
- Insurance certifications are an asset
- Spanish language is MUST
- Strong analytical and problem-solving skills
- Excellent member services and phone skills
- Excellent communication and organizational abilities