Claims Examiner I

Job Summary

Processing claims remotely, the part-time Claims Examiner I will verify claim information from CMS 1500 forms, enter data into the Claims Processing System, and adjudicate claims in accordance with regulations and organizational standards.

Key responsibilities

• Processes and verifies incoming claims for accuracy and completeness
• Enters claims data into the computerized Claims Processing System and maintains documentation
• Adjudicates claims according to departmental policies and production standards

Required qualifications

• High School Diploma or GED certificate required
• 6 months of data entry experience with a minimum of 10,000 keystrokes per hour
• Experience processing medical claims and knowledge of medical billing terminology preferred
• Proficient in MS Office
• Ability to work effectively in a work-from-home environment