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
