Claim Examiner 1

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The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims, in a timely and accurate manner.

Provides superior customer service consistent with company standards and goals, including inbound calls from providers and health plans. Responsible for quality and continuous improvement within the job scope.

Processes medical claims (CPT, ICD, and Revenue Coding) at production standards, including timely follow-up on inquiries received and correctly logs all incoming calls and emails.

Base pay range

$18.00 / hr - $27.00 / hr

Job Description

The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims, in a timely and accurate manner. Provides superior customer service consistent with company standards and goals, including inbound calls from providers and health plans.

Responsibilities include :

• Processing medical claims (CPT, ICD, and Revenue Coding) at production standards
• Providing superior customer service consistent with company standards and goals
• Responsible for quality and continuous improvement within the job scope

Minimum Qualifications

One year of claims processing, claims logging, or customer service experience in a managed care environment. Demonstrated minimum of 100 SPM on ten key and 30 WPM typing.

Preferred Qualifications

Physical Requirements

Manual dexterity, hearing, seeing, speaking.

Location

Central Office - Las Vegas

Work City

Las Vegas

Work State

Nevada

Scheduled Weekly Hours

40

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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