Missouri Licensed 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 provider credentialing for accurate claims processing

Maintain detailed records of claims processing activities and 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)

Proficiency in health claims processing

Basic to intermediate math skills

Proficiency with MS Office Suite