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Aerotek Claims Analyst in New York, New York

Description:

Responsible for reviewing data in the review application and client claim processing system, and comparing with corresponding UB, medical record or other documentation.

Responsible for reviewing all necessary documentation as necessary to determine appropriate reimbursement for a claim.

Responsible for reviewing adjudication software system’s claim and line items for determination of how to price a claim / line item.

Possess ability to work at a computer for extended periods.

Skills:

Claim, Insurance, Claims Analysis, Claims Processing, FACETS, ICD-10, Payer, Medicare, Medicaid, Health Insurance, Medical Claims Processing, Insurance Claim, Medical Billing

Top Skills Details:

3+ years of claims experience from a health plan

Additional Skills & Qualifications:

A minimum of 3 years DRG inpatient and cost outlier claim processing is required

Knowledge of hospital and physician coding, billing and medical terminology, CPT, HCPCS, ICD-10

Strong knowledge of Medicare and Medicaid billing & payment and coverage guidelines

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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