Healthcare Insurance Claim Examiner
3 days ago
**Job Description**
We are seeking a highly skilled Healthcare Insurance Claim Examiner to join our team at University Health. As a key member of our claims processing team, you will be responsible for examining complex claims issues and determining their validity.
The ideal candidate will have five years of experience in HMO/PPO claims and a strong understanding of Amisys claims processing system. Knowledge of all benefit programs offered by University Health, Medicaid, HMO, PPO, ASO is required.
In this role, you will work closely with our claims staff to examine complex claims issues and determine their validity, and collaborate with our configuration team to test contracts used in business operations and reporting.
Key Responsibilities:
- Examine complex claims issues and determine their validity
- Collaborate with claims staff to analyze complex problems related to claim payments, eligibility, and other insurance issues
- Work cooperatively with configuration team to test contracts used in business operations and reporting
Required Skills and Qualifications:
- Five years of experience in HMO/PPO claims
- Strong understanding of Amisys claims processing system
- Knowledge of all benefit programs offered by University Health, Medicaid, HMO, PPO, ASO
Estimated Salary:** $95,000 - $130,000 per year
Why Join Our Team?
At University Health, we value our employees and offer a competitive salary range, opportunities for professional growth and development, and a dynamic and supportive work environment. If you are a motivated and detail-oriented individual who is passionate about healthcare, we encourage you to apply for this exciting opportunity.
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