Claims Examiner

Job Summary

A company is looking for a Claims Examiner II.

Key Responsibilities

• Process assigned claims based on client-specified guidelines and productivity targets
• Mentor junior team members and collaborate on special projects as directed
• Maintain communication with management to address issues and ensure processing accuracy

Required Qualifications

• High School degree required
• 1 - 3 years of healthcare claims processing experience
• Knowledge of physician practices, hospital coding, billing, and medical terminology
• Solid understanding and ability to analyze claim data
• Familiarity with ICD-10, CPT, and HCPCS coding is a plus