Medical Claims Examiner

Mastech Digital
Aurora, CO, US
$24 an hour
Full-time

Mastech Digital provides digital and mainstream technology staff as well as Digital Transformation Services for all American Corporations.

We are currently seeking a Medical Claims Examiner for our client in the IT-Services domain. We value our professionals, providing comprehensive benefits and the opportunity for growth.

This is a Contract position, and the client is looking for someone to start immediately.

Duration : 3+ Months Contract

Salary : $24.00 / Hourly

Role : Medical Claims Examiner

Primary Skills : Claims

Role Description : As a Medical Claims Examiner, you must have at least 3 years of experience.

Day-to-day Responsibilities :

Review medical claims that are held with a pend or hold code and using our desk level procedures to apply appropriate guidelines for processing the claim.

Usually these are duplicate holds, manual pricing required or determining if there is an authorization for the services.

Required :

  • Technologies : (ex : Outlook, TEAMS, SharePoint, EPIC, etc.). Outlook, TEAMS, SHAREPOINT, EPIC, Desk Level Procedures, Webstrat.
  • Claims experience is the primary skill needed for the positions.
  • Should reside within 2.5 hours of Denver CO, due to some onsite requirement (ex : equipment provisioning, equipment troubleshooting, ad hoc meetings, etc.).
  • High School grad
  • 3 years Claims processing experience.
  • Expected Shift : 8 : 00am-4 : 30pm

Education : High School grad / Bachelor’s degree in computer science, Electrical / Electronic Engineering, Information Technology or another related field or Equivalent

Experience : Minimum 3 years of experience

Travel : No

Local Preferred : Yes

Note : Must be able to work on a W2 basis (No C2C)

30+ days ago
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