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Adjudicator

Company: Latitude, Inc.
Location: Arlington
Posted on: May 3, 2021

Job Description:

RESPONSIBILITIES:

Read, review, and analyze claims for complete information.

Conduct a thorough investigation of disclosure information and preexisting conditions.

Monitor, track, review, analyze, adjudicate, and compile results of completed BIs

Determine appropriate copay, coinsurance, and deductible information according to plan documents.

Adjudicate claims appropriately using departmental procedures and guidelines as applicable.

Send appropriate correspondence to providers/members requesting additional information as needed.

Meet or exceed productivity and quality requirements.

All other duties as assigned. This list is not intended to be an all-inclusive representation of the responsibilities of this position but instead, is intended to present a summary of its major functions. Specific assignments may be changed at the discretion of management.

EXPERIENCE REQUIREMENTS:

Excellent written and verbal communication skills.

Excellent analytical skills.

Gov't experience

Ability to identify and investigate insurance disclosures and preexisting conditions.

Interpersonal skills.

Excellent organizational skills.

Ability to work independently.

 

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Keywords: Latitude, Inc., Arlington , Adjudicator, Other , Arlington, Virginia

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