David Maynes Email & Phone Number

I am a Claims Processor for Health Choice of AZ ( Iasis Healthcare) . Medical claims processors are expected to have an expansive knowledge of medical terminology, as well as experience using a computer. Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents. medical claims processor manages and processes insurance claims. When healthcare providers treat patients, they file a medical claim to receive payment from the patient's insurance company. The medical claims processor then reviews and assesses the claim, remitting payment to the doctor if a claim is covered by the patient's insurance policy. Due to the nature of the work, it is vital that the processor be knowledgeable about the health insurance industry. Knowledge Skills and Abilities include Understanding Rev Codes, CPT-4/ HCPCS, ICD-9 Codes, Medical Terminology, Industrial pricing methodologies such as fee schedules. Computer Skills Microsoft Office including Power Point, Excel and word. Encoder Pro , Lotus and Intranet are my resources as well.

Listed skills include Medical Coding, Hipaa, Software Documentation, Insurance, and 19 others.