Job Summary
A company is looking for a Claims Examiner I - Part Time.
Key Responsibilities
- Process and adjudicate healthcare claims, including medical, dental, vision, and mental health claims
- Conduct claims research, investigate claims, and manage overpayment administration
- Resolve claims appeals, verify benefits, and ensure accurate plan loading
Required Qualifications
- 2+ years of related medical claims examiner/adjudication experience in the healthcare industry
- High school diploma or GED
- Knowledge of CPT and ICD-9 coding
- Understanding of COBRA, HIPAA, pre-existing conditions, and coordination of benefits
- Proven judgment and decision-making skills with the ability to analyze information
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