Claims Examiner II

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
• Review claims data to ensure accuracy and compliance with policies and procedures

Required Qualifications

• High School degree required
• 1 - 3 years of healthcare claims processing experience
• Solid understanding of claim data analysis
• Knowledge of ICD-10, CPT, and HCPCS coding is a plus
• Willingness to learn new skills and collaborate within a team