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Medical Claims Processor

Salary National Average

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37640.0000 44630.0000 54370.0000

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Short Description:

A Medical Claims Processor is responsible for reviewing and processing healthcare insurance claims to ensure accuracy, completeness, and compliance with policy terms. Their duties include verifying patient information, assessing medical documentation, and determining the appropriate reimbursement amounts based on insurance coverage and contracts. Medical Claims Processors also resolve discrepancies, communicate with healthcare providers and policyholders, and adhere to healthcare regulations and billing procedures. Strong attention to detail, knowledge of medical terminology, and familiarity with insurance policies are essential for success in this role, as Medical Claims Processors ensure the accurate and timely processing of claims.

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