Remote Health Claims Examiner in Phoenix

Job Summary

A healthcare company is filling a position for a Remote Health Claims Examiner in Phoenix.

Core Responsibilities of this position include:

• Ensuring adjudication of assigned medical claims in an accurate and timely manner
• Verifying adjudicate claim payments independently and in accordance with plan guidelines
• Providing timely and accurate information to plan members and providers

Qualifications Include:

• High school diploma/GED or equivalent working knowledge
• Knowledge of medical claims typically acquired over two to three years of experience in medical claims adjudication
• Knowledge of the UB92 and HCFA 1500 forms, medical procedure terminology, etc
• Knowledge of Medicare, Medicaid, and self-funded insurance, coding rules and coverage guidelines
• A complete understanding of the coordination of benefits functions to ensure proper payments or recovery of funds
• Requires the ability to work effectively with common office software