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Medical Claims Examiner
4 months ago
Description:
-Accurate and timely processing of medical claims-Investigation/communication in order to obtain necessary information to complete claim -Review and interpretation of contract benefits and edit/audit resolution -Knowledgeable and have the ability to access all relevant mainframe systems and screens in order to process claims accurately-Ensure security and confidentiality of records and information -Ability to extract claims authorization and historical data from the claims system
Skills:
PPO Insurance, Claims, Claims Processing, Member Claims, Health information management
Top Skills Details:
PPO Insurance,Claims,Claims Processing,Member Claims,Health information management
Additional Skills & Qualifications:
Health / Medical Claims experience- PPO claims- min 3-5 years experience- HCFA 1500 professional/UB Hospital claims- processing coordinating of benefits- Anthem/Blue Cross is a plus
Experience Level:
Entry Level
About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
