Claims Resolution Specialist Job ID 273701 Location US PA Camp Hill Experience (Years) 1 Category Corporate Central Billing Office Street Address 225 Grandview Avenue Company Select Medical Position Type Full Time Overview Claims Resolution Specialist Starting at $17.50 per hour On Site (Hybrid Schedule Possible After 90 Day Probationary Period) Do you enjoy puzzles and r

An Examiner generally performs the duties below for moderately complex to complex situations or financial organizations. Leads and participates in supervisory events for SMBs, bank and non bank subsidiaries, trust departments, service providers, BHCs and SLHCs. Serves effectively as an EIC to ensure the successful completion of a supervisory event, including assessment of

Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir

Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off