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Claims Examiner II

Company: VirtualVocations
Location: Glendale
Posted on: September 16, 2023

Job Description:

A company is looking for a Claims Examiner II.
Key Responsibilities:

Adjudicate healthcare claims based on employer and payer-specific policies and procedures
Review claims processing system data and compare it with corresponding UB04 or CMS1500 forms
Review claims attachments to determine if services rendered were medically appropriate and met benefit coverage criteria

Required Qualifications:

High School degree with two years of relevant professional experience in Healthcare claims operations for an insurance company or healthcare payor
Willingness to learn new skills and succeed in a new career
Proficiency with MS Office applications, especially Word and Excel
ICD-9 and ICD-10 coding, CPT and HCPCS coding, and HIPAA knowledge is a plus
Two years of claims or billing operations experience in a healthcare setting

Keywords: VirtualVocations, Glendale , Claims Examiner II, Other , Glendale, Arizona

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