Share this Job

CLAIMS RESOLUTION SPECIALIST-TRIHEALTH BENEFIT SOLUTIONS 1 1

City:  Norwood
State:  OH
Job Requisition Number:  173890

Attention current TriHealth employees:

Please apply for this position by submitting an online internal application via SuccessFactors. Please be certain to update your SuccessFactors Employee Profile prior to applying to this position.

CLAIMS RESOLUTION SPECIALIST-TRIHEALTH BENEFIT SOLUTIONS

*The Claim Adjudicator adjudicates claim/batch submissions from providers through the adjudication process and submits for final payment approval.

*This is an entry level position requires the ability to independently analyze and resolve claim issues, and respond to providers timely and in a professional manner.

*Determines and initiates appropriate requests for medical and non-medical information needed to properly pay claims by exhibiting strong knowledge of the theory and practice of the claim function.

*Initiates and conducts follow-ups via proficient use of claims systems and related business systems including telephone, facsimile and email.

 

MINIMUM REQUIREMENTS:

EDUCATION: High School Degree or GED Business

EXPERIENCE: Up to 1 year Customer Service Healthcare Insurance, Healthcare Administration

Job Title:  CLAIMS RESOLUTION SPECIALIST-TRIHEALTH BENEFIT SOLUTIONS 1 1

Department Name:  TPS CLAIMS ADMIN

Location:  Norwood

Hourly/Salaried:  Hourly

Employment Status: Full Time Position

Bi-Weekly Hours:80

Shift: Day Shift

Weekend Commitment:  No

Holiday Commitment:  No

On-Call Commitment:  No


Nearest Major Market: Cincinnati

Job Segment: HR, Medical, Healthcare Administration, Human Resources, Healthcare