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Medical Claims Examiner

Medical Claims Examiner

The CSI CompaniesClearwater, FL, US
4 days ago
Salary
$19.00–$22.00 hourly
Job type
  • Full-time
Job description

The CSI Companies has partnered with a leading healthcare organization looking to add a Medical Claims Examiner to their team, headquartered in the Clearwater, FL area. This is a contract-to-hire position Schedule : Monday-Friday 8am-5pm EST.

  • While on contract, the job will be ON-SITE . After the contract ends, you will have the opportunity to work remote Monday's and Friday's. Pay : $19-22 / hr based on experience Responsibilities :
  • Responsible for working closely with the Claims Supervisor and Manager of Claims Operations to ensure that claims received are adjudicated in a timely manner and accurately
  • Responsible for adjudicating claims in assigned work queues based on written Policies and Procedures and the terms of Certificates, Sharing Guidelines and Plan Documents of clients;
  • Diligently reviewing all system-generated edits which have been applied to claims in the Examiner's assigned queues prior to releasing the claims
  • Maintaining daily, weekly and monthly required production levels documented in Claims Department Policies and Procedures
  • Complete other duties as assigned

Requirements :

  • 2-3 years of medical claims processing experience required
  • Proficient using MS Word, Excel, PowerPoint, Outlook, and Access
  • High School Diploma is required
  • Interested? Apply now, our client is actively interviewing!