This listing was posted on Broadbean.
Medical Claims Examiner
Location:
Tampa, FL
Description:
Job DescriptionAnalyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria * Review different lines of business to include Medicare, Medicaid and Commercial services adherence to the contracts and timeliness guidelines * Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and adjustments (when applicable); * Identify process improvement opportunities within the claim department and recommend system enhancements * Handles any additional responsibility which may be assignedEducation : * High School Diploma or equivalent requiredExperience : * Minimum of one-year experience working closely with health claims or in a claims processing/adjudication environment; required. Abundance of opportunities for promotion within for those looking for upward mobility.Meeting and exceeding metrics is rewardedTechnical Skills / Knowledge: * Understanding of health claims processing/adjudication * Ability to perform basic to intermediate mathematical computation routines * Medical terminology strongly preferred * Understanding of ICD-9 & ICD-10 * Basic MS office computer skills * Ability to work independently or within a team * Time management skills Will go remote after 6 months of employment.
Posted:
April 20 on Broadbean
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More About this Listing: Medical Claims Examiner
Medical Claims Examiner is a Accounting & Finance Claims Handler Job located in Tampa FL. Find other listings like Medical Claims Examiner by searching Oodle for Accounting & Finance Claims Handler Jobs.
Medical Claims Examiner is a Accounting & Finance Claims Handler Job located in Tampa FL. Find other listings like Medical Claims Examiner by searching Oodle for Accounting & Finance Claims Handler Jobs.