medical claim adjuster

Verified

$5/hr

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Outline

Looking for Full-Time work (10 hours/day) at $5/hour

Bachelor's Degree

English proficiency Fluent

Professional Summary

exceptional medical claim investigator

Skills & Experience

Experience highlights

Claims Adjuster

ALORICA · January/2008 – /

Initiate claim adjustments to pay or deny incorrectly processed claims base on plan specific coverage and benefits, provider network status and medical policy reimbursement logic.
Initiate manual adjustments to price or re-priced incorrectly denied out of network claim base on plan out of network reimbursement rate.
Taking all inbound calls from professional health care providers providing members medical health insurance coverage and benefits, enrollment status, coordination of benefits.

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