Claims Examiner

Job Summary

A company is looking for a Claims Examiner - Remote.

Key Responsibilities

• Review and adjudicate medical claims, ensuring accurate coding and data entry
• Verify patient eligibility and provider credentialing for accurate claims processing
• Communicate with internal resources to resolve claim discrepancies and request additional information

Required Qualifications

• 1-2 years of experience in healthcare claims processing or adjudication
• Understanding of health claims processing and adjudication
• Familiarity with ICD-9 and ICD-10 medical terminology
• Basic MS Office computer skills
• Ability to work independently or within a team