Claims Examiner I
A company is looking for a Claims Examiner I. Key Responsibilities Adjudicate various claims types including medical, dental, and vision claims while ensuring compliance with regulatory requirements Analyze and verify patient and medical information to determine appropriate claim benefits and resolve discrepancies Maintain HIPAA compliance and meet individual and departmental productivity and quality standards Required Qualifications High school education or equivalent with 1-3 years of experience as a Health Claims Examiner or in a comparable role Minimum of one year experience as a Claims Examiner for medical, dental, and vision claims Basic knowledge of medical terminology and familiarity with relevant claim forms and coding Proficient in data entry and Microsoft Office applications Working knowledge of ERISA claims processing guidelines
A company is looking for a Claims Examiner I.
Key Responsibilities
Adjudicate various claims types including medical, dental, and vision claims while ensuring compliance with regulatory requirements
Analyze and verify patient and medical information to determine appropriate claim benefits and resolve discrepancies
Maintain HIPAA compliance and meet individual and departmental productivity and quality standards
Required Qualifications
High school education or equivalent with 1-3 years of experience as a Health Claims Examiner or in a comparable role
Minimum of one year experience as a Claims Examiner for medical, dental, and vision claims
Basic knowledge of medical terminology and familiarity with relevant claim forms and coding
Proficient in data entry and Microsoft Office applications
Working knowledge of ERISA claims processing guidelines
