Claims Processing Representative

Louisvilleonsitemid$40K$52K

Posted yesterday · via Workday

About this role

Become a part of our caring community The Medicare Initial Claims team is looking for Claims Processing Representatives. You will review and adjudicate complex or specialty claims, submitted either by paper or electronically. Reporting to the aligned Supervisor as a Claims Processing Representative 2 you will perform varies activities and moderately complex administrative, operational, and customer support assignments. Perform computations and work on semi-routine assignments. As a Claims Processing Representative 2 you will: Determine whether to return, deny, or pay claims following organizational policies and procedures. Make decisions that typically focus on interpretation of department policy and methods for completing assignments.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: less, monday, hipaa

2

Level fit

This role is mid-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in Louisville. We weight your proximity and willingness to relocate.

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Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

lessmondayhipaa

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