Remote Senior Medical Claims Investigator

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, Jul 13, 2021

This job expires in: 17 days

Job Category: Insurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health information management company has an open position for a Remote Senior Medical Claims Investigator.

Core Responsibilities of this position include:

  • Achieving measured production, quality, and growth results
  • Utilizing analytics and data mining techniques to client paid claims data
  • Acting as a mentor by answering questions regarding contracts

Position Requirements Include:

  • Minimum high school diploma or GED
  • Four (4) years' direct experience in medical claims investigation
  • Advanced knowledge of coding type edits
  • Advanced proficiency with medical terminology, medical procedures, medical conditions
  • Subject matter expert in reviewing and interpreting medium to complex medical contracts
  • Advanced computer skills and proficiency with Microsoft Office products

COMPLETE JOB DESCRIPTION

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