Claims Resolution Specialist
CurrentProcess and/or adjust provider submitted corrected claims, review finalized or pending claims to ensure they are processed correctly, follow company and plan specific standards, work with team to make sure issues are handled in a timely manner, run reports to review possible claims issues, review grievances to determine if issues can be corrected, educate processors on errors to correct processing issues, easily switch between multiple tasks, help answer questions from other departments within… Show more Process and/or adjust provider submitted corrected claims, review finalized or pending claims to ensure they are processed correctly, follow company and plan specific standards, work with team to make sure issues are handled in a timely manner, run reports to review possible claims issues, review grievances to determine if issues can be corrected, educate processors on errors to correct processing issues, easily switch between multiple tasks, help answer questions from other departments within the compnay. Show less