Claims Examiner I

Job Summary

A company is looking for a Claims Examiner I.

Key Responsibilities

• Researching unidentified claims and correcting errors for WEB, EDI, and paper claims
• Returning claims to providers/members for additional information and working on reports
• Adhering to privacy policies and participating in necessary training and educational activities

Required Qualifications

• Minimum High School Diploma or GED
• One year of office experience preferred
• Knowledge of ICD, HCPCS, and/or CPT codes preferred
• Health insurance experience preferred
• Proficiency in Microsoft Office