Claims Examiner I

As a Claim Examiner, you will handle processing and adjudication for healthcare claims, including claims research, and meet qualitative and quantitative production standards. You will be responsible for processing claims, investigating and overpayment administration, and resolving claims appeals. The position requires 2+ years of related work experience, claims examiner/adjudication experience, and knowledge of CPT and ICD-9 coding.

Requirements

• 2+ years related work experience
• Claims examiner/adjudication experience on a computerized claims payment system in the healthcare industry
• High school diploma or GED
• Knowledge of CPT and ICD-9 coding
• Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits
• Ability to learn quickly and multitask
• Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers
• Concise written and verbal communication skills
• Proficiency using Microsoft Windows and Word, Excel and customized programs for medical CPT coding

Benefits

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, Short- and long-term disability programs
• Flexible schedules after training
• Leave programs to support personal circumstances.
• Retirement Savings Plan includes employer contribution and employer match
• Paid time off, volunteer time off, and 11 holidays
• Additional voluntary benefits available and a comprehensive wellness program