Medical Claims Operations Clerk III Salary in South Dakota

The Medical Claims Operations Clerk III evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Being a Medical Claims Operations Clerk III requires a high school diploma. Produces routine and ad hoc reports. In addition, Medical Claims Operations Clerk III typically reports to a supervisor. Being a Medical Claims Operations Clerk III works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Working as a Medical Claims Operations Clerk III typically requires 3-5 years of related experience, or may need 2 years experience with additional specialized training and/or certification. (Copyright 2024 Salary.com)

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