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Senior Claims Examiner

VirtualVocations
Elizabeth, New Jersey, United States
Full-time

A company is looking for a Senior Claims Examiner to provide claims support by reviewing and processing complex health care claims.

Key ResponsibilitiesReview, analyze, and process medical claims based on standard operating proceduresExamine claims for appropriate coding and manually adjust pended escalated claimsCommunicate with external stakeholders to resolve claims errors and ensure compliance with reporting requirementsRequired QualificationsHigh School Diploma / GED1+ years of experience processing medical, dental, or mental health claims1+ years of experience in a fast-paced, high-volume environment processing 50+ claims per day2+ years of experience in a metric-based environmentProficiency with Microsoft Office Suite (Outlook, Word, Excel)

4 days ago
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