5h • General discussion
RUUUNNNN | CLAIMS PROCESSING REP 🏚️🤐‼️
- Receives and monitors the completeness and accuracy of claims forms and supporting documentation submitted by healthcare providers.
- Enters claim information, such as patient information, provider details, procedure codes, and diagnosis codes, into the company's claims processing system.
- Documents relevant information for the eligibility of the claim, determining coverage and benefits, and assessing the validity and medical necessity of the services rendered.
- Calculates claim payments based on the approved reimbursement rates, fee schedules, or contracted rates with healthcare providers.
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RUUUNNNN | CLAIMS PROCESSING REP 🏚️🤐‼️
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