Senior Claims Examiner

Job Summary

A company is looking for a Senior Claims Examiner.

Key Responsibilities

• Process assigned healthcare claims based on client guidelines and productivity targets
• Mentor junior team members and collaborate on special projects as directed by the team leader
• Maintain communication with management to address issues and ensure processing accuracy

Required Qualifications

• High School degree required
• 3 - 5 years of healthcare claims processing experience
• Solid understanding of claim data analysis
• Knowledge of physician billing and hospital coding, including ICD-10, HCPCS, and CPT-4
• Willingness to learn new skills and collaborate as part of a team