Remote Medical Claims Adjudicator in Tampa

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Wed, Nov 11, 2020

This job expires in 15 days

Job Category: Insurance

Remote Level: Partially Remote

Employer Type: Employer

Career Level: Experienced

Job Summary

A systems integration company is searching for a person to fill their position for a Remote Medical Claims Adjudicator in Tampa.

Core Responsibilities Include:

  • Reviewing and researching insurance claims
  • Validating member, provider and other claim information
  • Determining accurate payment criteria

Applicants must meet the following qualifications:

  • 1+ years of Claims Adjudication experience that required you to review claims rules and workflows.
  • 1+ years of experience processing claims that required a working knowledge of HCPCS, ICD and CPT codes
  • 1+ years of experience that required a knowledge of healthcare insurance policy concepts
  • Ability to determine accurate payment criteria
  • Ability to review and research insurance claims