Job Summary
A payment processing products development company is seeking a Remote Insurance Claims Validator.
Must be able to:
- Research and investigate insurance claims in various systems
- Audit medical claims to discover discrepancies related to insurance overpayments
- Review and analyze provider contracts and health plan reimbursement regulations
Skills and Requirements Include:
- Prior experience with EOBs, Provider/Member contracts, COBs, ICD 9/10, CMS Coding, etc
- High School Diploma or GED required
- Experience using general office software such as Outlook, Word and Excel