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Medical Claims Examiner

2 months ago

St Louis, Missouri, United States TEKsystems Full time
Job Title: Medical Claims Processor

We are seeking a highly skilled Medical Claims Processor to join our team at TEKsystems. As a Medical Claims Processor, you will be responsible for reviewing and analyzing medical claims for eligibility and benefits, as well as providing customer service to claimants and providers.

Key Responsibilities:
  • Review and analyze medical claims for eligibility and benefits
  • Adjudicate medical claims per the Fund's benefit plan
  • Maintain knowledge of all Fund benefits
  • Provide customer service to claimants and providers
  • Work closely with peers to ensure the goals and duties of the Claims Department are met efficiently, accurately, and pleasantly
Requirements:
  • High School graduate or GED equivalent
  • Minimum of one year of experience in claims processing and/or medical billing
  • Working knowledge of the healthcare industry, insurance claims, and the associated medical terminology
  • Strong customer service aptitude
  • Working knowledge of Microsoft Office and Adobe Acrobat products
Benefits:
  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

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.