Claims Management Processing Officer

Job Overview:

The Claims Management – Processor, evaluate more complex data entry, clerical, and accounting tasks involved in the preparation and processing of patient insurance claims. Supervises releasing team with regards to productivity and efficiency.

What you do:

Responsibilities will include, but are not limited to, the following:

• AI and Coding Standards:

  • Familiarity with AI tools that can automate the coding process, ensuring accuracy and efficiency in applying standards like ICD9, ICD10, CPT, HCPCs, Dental codes, ATC, etc.
  • Understanding of AI algorithms that can analyze and correlate different types of codes (e.g., ICD to CPT correlation) to improve coding practices.

• AI in Fraud Detection:

  • Knowledge of AI systems that can detect patterns of medical claims f...