A company is looking for a Medical Claims Examiner II.
Key Responsibilities
Review, investigate, and verify coverage for medical claims processing
Assist in training new team members and support ongoing development
Provide feedback on departmental workflows and system enhancements
Required Qualifications
High School Diploma and 4+ years of experience in medical claims processing or analysis
Strong knowledge of CPT / HCPC and ICD-10 code rules
Basic proficiency in Windows-based applications
General knowledge of CMS claims submission regulations
Demonstrated success in collaborative environments
Medical Claims Examiner • Astoria, New York, United States