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Jefferson Health

Claims Examiner - JHP

Philadelphiaonsite

Posted yesterday · via Workday

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About this role

Number of Positions In Requisition 1 Job Details Working under general supervision, the Claim Examiner adjudicates medical claims, in accordance with Health Partners' policies and procedures. Job Description Summary Working under general supervision, the Claim Examiner adjudicates medical claims, in accordance with Health Partners' policies and procedures. Job Duties Able to work in a constant state of alertness and safe manner Accurately adjudicates claims in compliance with data entry rules, On Line Processing Rules and contractual agreements. Reviews pended claims on a daily basis, assuring that all appropriate documentation is completed before adjudication. Accurately completes service forms for pended claims and routes to designated areas for resolution.…

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1

Skills match

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2

Level fit

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3

Domain experience

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4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in Philadelphia. We weight your proximity and willingness to relocate.

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