Claims Translator
Company: Generali Global Assistance North America
Location: Pembroke Pines
Posted on: February 23, 2021
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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 assignedRequired / 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) requiredPhysical 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/VeteranPowered by JazzHRscZHVPcBcC
Keywords: Generali Global Assistance North America, Pembroke Pines , Claims Translator, Other , Pembroke Pines, Florida
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