Founded in 1964, California-based AppleOne Employment Services is a full-service staffing firm, providing direct hire and contract professionals to companies. AppleOne has branches in the United States as well as in Canada. The company's self-proclaimed distinguishing feature is that it regards the career seeker as its client. AppleOne is part of the AcetOne Family of Companies, which is the largest privately held, minority-woman-owned personnel company founded in the U.S.
This Claims Processor Position Features:Summary data entry position, this is 2 years of health care experience in claims, provider data, authorizations or referral processing. Ensures accurate, timely maintenance, and synchronization of critical Provider data on all Provider databases, and systems such as Claims, Data Management, and Authorization/Referral systems. Accesses and utilizes multiple software applications. Applies business rules and knowledge of Provider contract language, pricing and reimbursement methodologies to each database/system to validate Provider information in all systems. Communicates with internal and external customers by phone and email to clarify data and follow-up on issues, working under timeline, accuracy and production targets. Requires the ability to manage a large amount of complex information, communicate clearly, and draw sound conclusions. Performs simple credentialing activities including performing primary source verifications and entering the initial data of potential Providers into the Provider database and credentialing system(s). Collaborate with the Provider Data Specialists and provide clear instructions to correct data issues. Ensure correct reimbursement and Provider data is housed in all downstream systems. I-17 Deer Valley Pays up to $17.50 We are an Equal Employment Opportunity employer committed to excellence, diversity and inclusion.
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Total job posting distribution in the last 12 monthsBased on 130 job boards, duplications excluded
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