Claims Examiner

**Adjudication - Claim Examiner** - Review medical documents, policy documents, policy history, Claims history, and system notes - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.) - Process Insurance Claims timely and qualitatively - Ability to resolve claims that require adjustments and adjustment projects. - Identify...

Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a clIn this role you will be responsible for:   Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) -...

Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a clIn this role you will be responsible for: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) -...

Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a clIn this role you will be responsible for:   Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) -...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

Job Description Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a clIn this role you will be responsible for: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending...

Job Description Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a clIn this role you will be responsible for: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

In this role you will be responsible for:   Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check  ...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables - Prioritize unpaid claims for calling according to the length of time it has been outstanding - Call insurance companies directly and convince them to pay the outstanding claims - Check the relevance of insurance info offered by the...

Job Description In this role you will be responsible for: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting...

Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables - Prioritize unpaid claims for calling according to the length of time it has been outstanding - Call insurance companies directly and convince them to pay the outstanding claims - Check the relevance of insurance info offered by the...

Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables - Prioritize unpaid claims for calling according to the length of time it has been outstanding - Call insurance companies directly and convince them to pay the outstanding claims - Check the relevance of insurance info offered by the...

Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables - Prioritize unpaid claims for calling according to the length of time it has been outstanding - Call insurance companies directly and convince them to pay the outstanding claims - Check the relevance of insurance info offered by the...

Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables - Prioritize unpaid claims for calling according to the length of time it has been outstanding - Call insurance companies directly and convince them to pay the outstanding claims - Check the relevance of insurance info offered by the...

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers,...

Job Description Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network...

**Roles & Responsibilities** - 1+ Years of Experience in **ED Professional** Coding with **CPC Certification**. - We are looking to recruit a competent medical coder to assist us with coding medical documentation for insurance claims and for our databases. - Extracting relevant information from patient records. - Liaising with physicians and other parties to...