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Claims Translator

Company: Generali Global Assistance North America
Location: Hollywood
Posted on: February 23, 2021

Job Description:

Job Summary:

The Claims Processor will review and adjudicate inpatient and outpatient claims, verifying eligibility, approval of services, and accurate pricing.

  • (Bi-lingual: English/Japanese, English/Greek OR Portuguese/Spanish/Italian required)**

    Principal Duties and Responsibilities:

  • Completes accurate analysis of claim determination for payment or denial based on established rules and processes
  • Fully translate each claim into the English language in addition to currency conversion
  • Monitor claim inventory of assigned accounts and ensure turnaround and productivity benchmarks are met
  • Processes claims from returned pended claims reports and those containing claim edits
  • Manually prices claims based on specific rates
  • Other duties as assigned

    Required / Desired Knowledge, Experiences and Skills:

    • One (1) year of medical claim billing experience with knowledge of CPT4 and ICD10 codes
    • Knowledge of medical and insurance industry terminology
    • Working knowledge of third party and medical provider
    • Knowledge of billing and payment procedures
    • Typing speed of 45WPM
    • Detail-oriented
    • Team Player
    • Bi-lingual (Japanese, Greek, Portuguese, Italian)

      Education/Certifications:

      • High School Diploma or Equivalent (GED) required

        Physical Working Environment:

        While performing the duties of this job, the employee is required to stand; walk; sit for long periods of time; use of hands to grasp, handle, or feel; reach with hands and arms; finger dexterity; talk; hear. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

        The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties and skills required of employees so classified.

        GMMI is an Equal Opportunity Employer M/F/Disability/Veteran

        Powered by JazzHR

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Keywords: Generali Global Assistance North America, Hollywood , Claims Translator, Other , Hollywood, Florida

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