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Medical Claims Analyst

Prodegi Corporate Benefit Services Midvale ,UT
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Third Party Administrator (TPA) of self-funded health benefits is seeking Medical Claims Analyst responsible for accurate and timely adjudication of medical, dental, vision and pharmacy claims.

  • Must demonstrate proficiency in the operation of claims processing software and hardware.
  • Must have an excellent understanding of health benefits concepts and their application in the adjudication of claims.
  • Must be able to accurately assess financial responsibility and liability for claims submitted by providers.
  • Accurate input of data is required for claims adjudication.
  • Examiners are expected to maintain 98 percent statistical/financial accuracy.
  • Examiners must meet timeliness requirements for the product line(s) they are responsible for processing.
  • Take calls from Providers regarding claim status and perform research as required..
  • Ensure the privacy and security of PHI (Protected Health Information) as required under HIPAA.

Experience/Skills Requirements:

One (1) to three (3) years processing of health claims.
Strong working knowledge of ICD.9.CM, CPT, HCPCS, Revenue and DRG coding schemes and medical terminology required.

Company Description
Prodegi is a Third Party Administrator (TPA) of self-funded employee health benefits with over 35 years of success in the Benefits Administration business. We have refined the administration of self-funded health benefits in a way that saves employers time and money while helping them improve employee satisfaction and retention. By building a team of bright, talented and passionate people that are working faster, smarter and more efficiently, we are ensuring a future of growth and customer satisfaction, as well as greater success and opportunity for our employees.

Prodegi Corporate Benefit Services

Why Work Here?

Prodegi is a dynamic, growing company with a team that's passionate, create and quality-driven.

Prodegi is a Third Party Administrator (TPA) of self-funded employee health benefits with over 35 years of success in the Benefits Administration business. We have refined the administration of self-funded health benefits in a way that saves employers time and money while helping them improve employee satisfaction and retention. By building a team of bright, talented and passionate people that are working faster, smarter and more efficiently, we are ensuring a future of growth and customer satisfaction, as well as greater success and opportunity for our employees.

Address

6770 S 900 E
Midvale, UT
USA

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