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Claims Examiner I
2 months ago
Claims Examiner Processor
Pridestaff Financial currently in search for a Full Cycle Medical Claims Examiner Processor for one of our leading healthcare insurance providers. The service provider strives to provide excellent and affordable coverage to all. The ideal candidate would have 3-5 years of experience in the employee benefits industry.
Great Benefits, Including Medical, Dental, Vision, PTO, 401k & More.....
Job Responsibilities:
- Review and process medical claims submitted by providers
- Verify patient eligibility and check for complete documentation
- Determine correct coding for procedures and diagnoses
- Review charges for accuracy and negotiate payments with providers when needed
- Communicate routinely with providers and customers to resolve issues
Skills Required:
- Proficient in ICD-10, CPT, HCPCS codes
- Strong attention to detail with excellent data entry skills
- Ability to interpret medical codes and billing procedures accurately
- Proficient computer skills in claims processing software
- Effective communication and problem-solving skills
- 3-5 years experience working in employee benefits
Benefits: All our employees receive competitive medical, dental and vision insurance coverage at low group rates. They also offer a generous paid time off policy, retirement savings plan with matching contributions, and opportunities for growth.
Compensation / Pay Rate (Up to): $20.00 - $26.00
Company DescriptionPrideStaff is a national staffing organization, delivering innovative solutions to the challenges employers face every day. Over the years, PrideStaff has been a consistent industry leader, developing technology and service processes that allow our organization to deliver superior performance. With locations across the United States, we're well positioned to partner with clients and candidates to ensure a successful match of employee talent with customer needs. When it comes to your success, we leave nothing to chancePrideStaff hiring criteria-
Must be at least 18 years old
Able to provide proof of eligibility to work in the United States
Willing to submit to a pre-employment drug screen and background check
Must have consistent and reliable means of transportation
Must be able to provide at least 2 professional references from recent supervisors, managers, or person/s who have overseen you in the workplace.Company DescriptionPrideStaff is a national staffing organization, delivering innovative solutions to the challenges employers face every day. Over the years, PrideStaff has been a consistent industry leader, developing technology and service processes that allow our organization to deliver superior performance. With locations across the United States, we're well positioned to partner with clients and candidates to ensure a successful match of employee talent with customer needs. When it comes to your success, we leave nothing to chance \r
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PrideStaff hiring criteria-\r
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Must be at least 18 years old\r
Able to provide proof of eligibility to work in the United States\r
Willing to submit to a pre-employment drug screen and background check\r
Must have consistent and reliable means of transportation\r
Must be able to provide at least 2 professional references from recent supervisors, managers, or person/s who have overseen you in the workplace.
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