Temporary role to intake, create, and adjust medical claim cases with accurate, timely data entry; research systems; contact providers/customers for missing details; and ensure HIPAA-compliant handling during a 60–120 day assignment.
Description:
A temporary position (approx. 60–120 days) designed to support Claritev’s clinical claims operations by creating and processing medical claim cases. This role emphasizes accurate data entry and case creation while maintaining compliance with healthcare data standards.
Key Responsibilities:
- Intake and create incoming medical claim cases in all applicable systems.
- Perform timely and accurate data entry of key information needed for claims processing.
- Conduct adjustments on medical claims when required.
- Reach out to customers/providers to gather missing or additional claim details.
- Research internal/external systems to identify necessary data for case completion.
- Ensure work complies with HIPAA privacy and company standards.
- Demonstrate company core competencies and values.
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