Medical Claims Adjuster
A company is looking for a Medical Claims Adjuster to ensure the accuracy of previously paid medical claims. Key Responsibilities Analyze and adjust previously processed medical claims (approx. 75% of duties) Process new medical claims as needed (approx. 25% of duties) Identify overpayments, issue overpayment letters, and track/process refunds Required Qualifications A minimum of five (5) years of experience in medical claims processing, adjudication, and adjusting Demonstrated experience with claims adjudication, coordination of benefits (COB), and correcting payment errors Proficiency in basic Microsoft Excel (sorting, filtering) and Outlook High School Diploma or GED
A company is looking for a Medical Claims Adjuster to ensure the accuracy of previously paid medical claims.
Key Responsibilities
Analyze and adjust previously processed medical claims (approx. 75% of duties)
Process new medical claims as needed (approx. 25% of duties)
Identify overpayments, issue overpayment letters, and track/process refunds
Required Qualifications
A minimum of five (5) years of experience in medical claims processing, adjudication, and adjusting
Demonstrated experience with claims adjudication, coordination of benefits (COB), and correcting payment errors
Proficiency in basic Microsoft Excel (sorting, filtering) and Outlook
High School Diploma or GED
