Claims processing and adjudication.
Data entry and database management.
Knowledge of ICD-10, CPT, and HCPCS codes.
Attention to detail and accuracy.
Claims investigation and verification.
Policy interpretation and compliance.
Fraud detection and prevention.
Problem-solving and critical thinking.
Written and verbal communication.
Customer service and conflict resolution.
Handling confidential information with discretion.
Time management and multitasking.
Recordkeeping and documentation.
Ability to work under pressure and meet deadlines.
