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Claims Processor

QualiTest is looking for a Claims Processor for start a career of SME in QualiTest. It is a full-time position in Bridgewater, NJ.


  • Review of claims that have already been processed by the system
  • Be the SME (subject matter expert) with regards to claims processing.
  • The suppliers are complaining about issues with the previously processed claims
  • Will be identifying root causes, necessary correction of root causes and provide feedback to providers
  • Will be utilizing Microsoft Excel heavily


  • A minimum of 1-2 years' experience in claims processing with professionals or hospitals and claims analysis
  • Healthcare background
  • Knowledge of billing guidelines
  • Knowledge of contract interpretation
  • Knowledge of billing/coding - CPT, ICD-10

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