Claims Examiner Job at DTG Consulting Solutions, Inc., Englewood, NJ

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  • DTG Consulting Solutions, Inc.
  • Englewood, NJ

Job Description

Responsibilities:

  • Review and process health care claims promptly and accurately
  • Verify claim details using CPT and ICD codes
  • Address inquiries from providers, members, and insurers regarding claim status
  • Ensure compliance with internal policies and regulatory requirements
  • Maintain detailed and accurate documentation of claim processing
  • Collaborate with team members to resolve any discrepancies

Qualifications:

  • Proven experience in processing health care claims
  • Knowledge of CPT, ICD codes, and medical billing procedures
  • Insurance certifications are an asset
  • Spanish language is MUST
  • Strong analytical and problem-solving skills
  • Excellent member services and phone skills
  • Excellent communication and organizational abilities

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