Remote Health Claims Examiner in Phoenix

Location: Arizona

Compensation: To Be Discussed

Staff Reviewed: Thu, May 27, 2021

This job expires in: 5 days

Job Category: Insurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

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

COMPLETE JOB DESCRIPTION

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