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Medical Claims Examiner

VirtualVocationsSan Francisco, California, United States

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A company is looking for a Medical Claims Examiner.

Key Responsibilities

Receives and adjudicates medical claims / bills for payment or denial

Researches bills and claims for appropriate support documents and documentation

Analyzes and adjusts data and benefits criteria for payment

Required Qualifications

3+ years of experience in medical claims processing

Experience with Medicare and Medicaid

High school diploma or equivalent

Knowledge of claims processing and related coding (ICD-9, ICD-10, CPT)

Familiarity with medical billing and electronic health records (EHR / Epic, EMR)

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