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Claims Processor at Monument Health - ApplyBlast

Claims Processor

Monument Health

26 days ago

3.1 on Glassdoor

Rapid City, South Dakota, United States

Onsite

Full Time

Junior

0 applicants

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About this role

This role involves processing, approving, and paying inpatient and outpatient medical claims in accordance with payer specifications and billing guidelines. The position requires accurate review of information for computerized system entry and timely follow-up on claims to ensure prompt reimbursement. The role also includes identifying unresolved patient responsibility requests and participating in departmental performance improvement activities.

Responsibilities

Process and approve inpatient and outpatient medical claims
Follow up on denied claims and conduct first level appeals
Research payer requirements and resolve claim submission issues

Skills

Qualifications

High School Diploma/GED Equivalent in General StudiesBachelors degree in Accounting, Business, Health Related FieldCertified Clinical Account Technician (CCAT)Certified Patient Account Technician (CPAT)

About Monument Health

monument.health

Headquarters

Rapid City, South Dakota, United States

Company Size

1001-5000 employees

Founded

1973

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Monument Health is an integrated healthcare system in Western South Dakota and Eastern Wyoming. Our hospital serves greater Rapid City & the Black Hills.