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Requirements For This Role Include
University degree or equivalent that required formal studies of the English language and basic Math
2 to 3 Years of experience in Claims Adjudication/Adjustments that required a working knowledge of HCPCS, ICD and CPT codes. Experience that required a knowledge of healthcare insurance policy concepts including In Network, Out of Network providers, Deductible, Coinsurance, Co-pay, Out of Pocket, Maximum inside limits and Exclusions, State Variations. Experience in Claims Platform AMISYS or Xcelys is preferrable
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