Claims Examiner II

Job Summary

A company is looking for a Claims Examiner II.

Key Responsibilities

• Process assigned claims based on client-specified guidelines
• Meet productivity targets and maintain financial and procedural accuracy
• Mentor junior team members and collaborate on special projects

Required Qualifications

• High School degree required
• 1 - 3 years of healthcare claims processing experience
• Knowledge of physician practices, hospital coding, and medical terminology
• Solid understanding and ability to analyze claim data
• ICD-10, CPT, and HCPCS coding knowledge is a plus