Claims Examiner
Canfield, OH Canfield, OH Full-time Full-time $33 an hour $33 an hour 7 days ago 7 days ago 7 days ago JOB SUMMARY The Claims Examiner position responsible for processing medical, dental and vision claims.
ESSENTIAL JOB FUNCTIONS/DUTIES Review and process medical claims according to Plan guidelines within established turnaround time frames Interpret medical plan to assure system is coded correctly Review claims for legitimacy and accuracy Meet production and quality standards set for examiners Work Customer Service inquiries related to claim questions Review correspondence submitted by members and providers and adjust all related claims if the additionaldocumentation submitted warrants adjustment Other duties as assigned QUALIFICATION REQUIREMENTS High School/GED required Demonstrate skills in problem solving and benefit plan interpretation Knowledge of CPT codes, ICD9/ICD10 codes and/or medical terminology is a plus Ability to work independently PC proficiency Average typing ability Job Type:
Full-time Salary:
$33.
00 per hour Education:
High school or equivalent (Required)
Experience:
of CPT codes, ICD9/ICD10 codes:
1 year (Required) Work Location:
In person Review and process medical claims according to Plan guidelines within established turnaround time frames Interpret medical plan to assure system is coded correctly Review claims for legitimacy and accuracy Meet production and quality standards set for examiners Work Customer Service inquiries related to claim questions Review correspondence submitted by members and providers and adjust all related claims if the additionaldocumentation submitted warrants adjustment Other duties as assigned High School/GED required Demonstrate skills in problem solving and benefit plan interpretation Knowledge of CPT codes, ICD9/ICD10 codes and/or medical terminology is a plus Ability to work independently PC proficiency Average typing ability High school or equivalent (Required) of CPT codes, ICD9/ICD10 codes:
1 year (Required).
Estimated Salary: $20 to $28 per hour based on qualifications.
ESSENTIAL JOB FUNCTIONS/DUTIES Review and process medical claims according to Plan guidelines within established turnaround time frames Interpret medical plan to assure system is coded correctly Review claims for legitimacy and accuracy Meet production and quality standards set for examiners Work Customer Service inquiries related to claim questions Review correspondence submitted by members and providers and adjust all related claims if the additionaldocumentation submitted warrants adjustment Other duties as assigned QUALIFICATION REQUIREMENTS High School/GED required Demonstrate skills in problem solving and benefit plan interpretation Knowledge of CPT codes, ICD9/ICD10 codes and/or medical terminology is a plus Ability to work independently PC proficiency Average typing ability Job Type:
Full-time Salary:
$33.
00 per hour Education:
High school or equivalent (Required)
Experience:
of CPT codes, ICD9/ICD10 codes:
1 year (Required) Work Location:
In person Review and process medical claims according to Plan guidelines within established turnaround time frames Interpret medical plan to assure system is coded correctly Review claims for legitimacy and accuracy Meet production and quality standards set for examiners Work Customer Service inquiries related to claim questions Review correspondence submitted by members and providers and adjust all related claims if the additionaldocumentation submitted warrants adjustment Other duties as assigned High School/GED required Demonstrate skills in problem solving and benefit plan interpretation Knowledge of CPT codes, ICD9/ICD10 codes and/or medical terminology is a plus Ability to work independently PC proficiency Average typing ability High school or equivalent (Required) of CPT codes, ICD9/ICD10 codes:
1 year (Required).
Estimated Salary: $20 to $28 per hour based on qualifications.
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