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
Claim Examiner • Cleveland, Ohio, United States