
Healthcare Claims Examiner
4 days ago
We are seeking a highly skilled Claims Examiner to join our team. This role involves reviewing and processing claims for accuracy and completeness.
The ideal candidate will have a strong understanding of US health insurance claims, including CMS-1500 and UB04 adjudication. They will also possess excellent analytical skills, attention to detail, and the ability to work independently as part of a team.
Key Responsibilities:
- Review and process claims for accuracy and completeness
- Analyze claims data to identify errors or inconsistencies
- Making recommendations for payment based on established policies and procedures
- Collaborate with team members to resolve complex claims issues
- Meet productivity goals and quality standards
Requirements:
- A degree in a related field (e.g., healthcare administration, business)
- Experience in US health insurance claims processing (1-3 years)
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work independently and collaboratively as part of a team
We offer a dynamic work environment, opportunities for growth and development, and a competitive compensation package. If you're passionate about healthcare and have a strong desire to make a difference, we encourage you to apply.
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