Experienced Claims Examiner

A company is looking for an Experienced Claims Examiner - Remote.

Key Responsibilities

Review and adjudicate medical claims, ensuring accurate coding and data entry

Verify patient eligibility and coverage details to facilitate accurate claims processing

Maintain accurate records of claims processing activities and communicate with internal stakeholders to resolve discrepancies

Required Qualifications

3-5 years of experience in medical claims processing and adjudication

Strong understanding of medical terminology and coding systems (ICD-10, CPT, HCPCS)

Proficient in health claims processing and adjudication

Basic to intermediate math skills

Proficiency with MS Office Suite