Job Description
**POSITION SUMMARY**
The Claims Inspection Representative is responsible for handling claims review through an established checklist to ensure accurate claim requirements are met before it is released to the insurance.
**JOB RESPONSIBILITIES:**
+ Conduct thorough reviews of submitted claims by applying a standardized checklist of requirements to ensure accuracy, completeness, and compliance with internal policies and payer guidelines.
+ Accurately identify discrepancies, errors, or non-compliance issues—referred to as _Failpoints_ —during the claims review process. These findings must be clearly documented and promptly communicated to the appropriate internal departments to initiate necessary corrective actions and ensure process integrity.
+ Maintains accurate patient information in relevant Acelis Connected Health data management systems.
+ Applies knowledge of company processes and procedures to res...
The Claims Inspection Representative is responsible for handling claims review through an established checklist to ensure accurate claim requirements are met before it is released to the insurance.
**JOB RESPONSIBILITIES:**
+ Conduct thorough reviews of submitted claims by applying a standardized checklist of requirements to ensure accuracy, completeness, and compliance with internal policies and payer guidelines.
+ Accurately identify discrepancies, errors, or non-compliance issues—referred to as _Failpoints_ —during the claims review process. These findings must be clearly documented and promptly communicated to the appropriate internal departments to initiate necessary corrective actions and ensure process integrity.
+ Maintains accurate patient information in relevant Acelis Connected Health data management systems.
+ Applies knowledge of company processes and procedures to res...
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