Medical Claims Examiner Jobs
Claims Examiner Jobs
By Paramount Health Care
At Toledo, OH, United States
Medical Claims Examiner Jobs
By Flex Employee Services
At United States
Claims Examiner - Fully Remote Position
By Lowe's Companies, Inc.
At Mooresville, NC, United States
Claims Examiner I Jobs
By Western Growers
At Irvine, CA, United States
Claims Dispute Examiner I - Evicore - Remote
By The Cigna Group
At United States
Litigation Claims Examiner - Professional Liability
By Reserv
At Atlanta, GA, United States
Secretary/Transcriptionist-Medical Examiner Jobs
By Fort Bend County
At Rosenberg, TX, United States
Disability Claims Examiner (Remote Role)
By Prudential Financial
At South Carolina, United States
National Claims Examiner Jobs
By UPCIC
At , Fort Lauderdale, Fl
Recent Actuary Grad - Claims Examiner Working Behind The Scenes In The Healthcare Industry
By All Star Operations
At , Remote
$18.75 an hour
Deputy Director, Medical Examiner, Grade K9
By Fulton County, GA
At , , Ga
Claims Examiner Ii - Evicore - Remote
By The Cigna Group
At United States
Seasonal Storm Claims Examiner
By Farm Bureau Financial Services
At , West Des Moines, 50266, Ia
Claims Examiner Jobs
By Royal Etiquette Services
At San Mateo, CA, United States
Associate State Medical Examiner
By State of Iowa Talent Gateway
At , Ankeny, 50023, Ia
$109,408 - $292,094 a year
Claims Examiner I - Evicore - Remote
By The Cigna Group
At Bloomfield, CT, United States
Medical Disability Examiner Jobs
By The State of Florida
At , Miami, 33186, Fl
$40,740 - $71,087 a year
Pre-Development Specialist / Claims Examiner I
By Health & Human Services Comm
At , Austin, 78741, Tx
$3,576 - $4,095 a month
Forensic Toxicologist Iii, Medical Examiner
By Tarrant County, TX
At , , Tx
$5,559 - $6,115 a month
Tdi-Claims Examiner I Jobs
By Texas Department of Insurance
At Dallas County, TX, United States
Are you looking for a challenging and rewarding career in the medical field? Become a Medical Claims Examiner and help ensure that medical claims are processed accurately and efficiently! Join a team of professionals dedicated to providing quality healthcare services to patients and their families.
Overview Medical Claims Examiners are responsible for reviewing and processing medical claims submitted by healthcare providers. They ensure that claims are accurate and complete, and that they meet all applicable regulations and guidelines. They also investigate any discrepancies or errors in the claims, and work with healthcare providers to resolve them. Detailed Job Description Medical Claims Examiners are responsible for reviewing and processing medical claims submitted by healthcare providers. They review claims for accuracy, completeness, and compliance with applicable regulations and guidelines. They investigate any discrepancies or errors in the claims, and work with healthcare providers to resolve them. They also review and process payments for claims, and ensure that all payments are accurate and timely. Job Skills Required• Knowledge of medical terminology and coding
• Knowledge of medical insurance regulations and guidelines
• Excellent attention to detail
• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Proficiency with computers and software programs
Job Qualifications
• High school diploma or equivalent
• Associate’s degree in medical billing and coding or related field preferred
• Certification in medical billing and coding preferred
• Previous experience in medical billing and coding preferred
Job Knowledge
• Knowledge of medical terminology and coding
• Knowledge of medical insurance regulations and guidelines
• Knowledge of medical billing and coding software
Job Experience
• Previous experience in medical billing and coding preferred
Job Responsibilities
• Review and process medical claims submitted by healthcare providers
• Ensure that claims are accurate and complete, and that they meet all applicable regulations and guidelines
• Investigate any discrepancies or errors in the claims, and work with healthcare providers to resolve them
• Review and process payments for claims, and ensure that all payments are accurate and timely
• Maintain accurate records of all claims and payments
• Monitor and update claims status in the system
• Respond to inquiries from healthcare providers regarding claims status
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