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

MDA2d0FaUEozb1Vmb29semQvRGFncVBvUWc9PQ==
  • 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

Job Tags

Similar Jobs

CVS Health

Pharmacy Manager Job at CVS Health

 ...Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of...  ...prescriptions to helping manage chronic and specialty conditions. As Pharmacy Manager, you have one of the most significant roles in our... 

Doyon Government Group

Site Safety Health Officer (SSHO) - Federal Construction Job at Doyon Government Group

 ...renovations, repairs, and civil projects at government-owned facilities and military installations. The Construction Site Safety & Health Officer (SSHO) is responsible for the development and/or review of the Accident Prevention Plan, activity hazard analysiss,... 

Willowbrook Personal Care Home

Live In Caregiver Needed Job at Willowbrook Personal Care Home

 ...Willowbrook Personal Care Home is looking for a full-time live-in caregiver to join our team. We are located in Seguin, Texas which is easily...  ...San Antonio, Houston and New Braunfels. You'll have your own private master bedroom and the den to relax in when off duty with no... 

V R Della Infotech Inc

Coordinator, Media Planning Job at V R Della Infotech Inc

 ...creative and collaborative Coordinator, Media Planning to ideate, build, and manage effective...  ...music fans focused on the execution of digital paid media campaigns. You will be highly...  ...Notes: Monday - Thursday in office. Remote Fridays. Hours: 9am-5pm. Hours Per Day... 

Corestaff Services

On-Call Maintenance Worker Job at Corestaff Services

 ...Service Locations Washington, DC Maryland ( Bethesda, Silver Spring and Greenbelt) Work Schedule & Response Time Response times should be within 24-48 hours for non-urgent tasks and same-day for urgent requests (e.g., plumbing issues affecting patient care)....