Claims Inspection Representative

**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 respond to incoming communication from insurance co...