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AH
AblePay Health LLC
Claims Adjudicator
Entry-Level JobVerifiedNo experience needed
Career Insights for Medical Claims Processor / Representative
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Based on Pennsylvania data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$42,879 / year median in Pennsylvania
-5% projected decline
Job Description
Claims Adjudicator AblePay Health LLC Allentown, PA Job Details Full-time 1 day ago Qualifications Data integrity assurance Insurance claims inquiry response Healthcare dispute resolution Patient question and concern management Insurance claims settlement negotiation Data validation techniques Insurance dispute resolution Client rapport building Health insurance customer support Claims negotiation Financial issue resolution Data integrity and documentation Health information data integrity Policy verification in claims processing Relationship management Billing issue inquiries Claims documentation management Negotiated pricing Entry level Full Job Description The Claims Adjudicator position is responsible for assuring claims received from billing providers are evaluated for data integrity and validating the Patient Responsibility before processing to the secure Member Portal; building and maintaining outstanding relationships with providers.