What are the responsibilities and job description for the Claims Specialist position at Techgene Solutions?
Key Responsibilities:
- Review and process claims with a focus on accuracy and attention to detail
- Differentiate between claim forms, specifically CMS-1500 and UB-04s
- Analyze explanation of benefits (EOBs) and extract pertinent information
- Review medical records to identify and interpret key details that determine crime-relatedness
Qualifications:
- Demonstrated experience in claims examination, with an emphasis on bill review and payment
- Strong working knowledge of CMS-1500 and UB-04 claim forms
- Ability to interpret EOBs and pull relevant information quickly and accurately
- Experience reviewing medical records and determining relevance to claims
- Excellent organizational and communication skills