Claims Examiner

Job Summary

To support a rapidly growing healthcare technology team, the full-time remote Claims Examiner will accurately process medical claims, ensuring compliance with payer requirements and internal policies.

Key responsibilities:

• Review and adjudicate medical claims, ensuring accurate coding and data entry
• Verify patient eligibility and provider credentialing to facilitate accurate claims processing
• Communicate with internal stakeholders 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, including ICD-9 and ICD-10
• Basic MS Office computer skills
• Familiarity with medical terminology
• Ability to work independently and manage time effectively