About the role
Manage end-to-end claims adjudication process for Evry Health.
- •Evry Health is seeking a Claims Specialist to manage the end-to-end claims adjudication process.
- •Key Responsibilities Review and process claims according to plan benefits and contractual reimbursement terms.
- •Follow established policies and procedures to pay, pend, or deny claims.
- •Process claims subject to Coordination of Benefits (COB) according to plan benefits, COB rules and contractual reimbursement terms.
- •Requirements Minimum of 3 years' medical claim adjudication/examination experience.
- •Knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and Revenue Codes.
- •Strong attention to detail and problem-solving skills with a high level of accuracy.
Match insights
Level:Mid