What are the responsibilities and job description for the Claims Examiner Senior position at InfiCare Technologies?
Job Description
Job Description
Job Title : Claims Examiner Senior
Job Location : Irving TX 75039
Pay Rate : $24 / hour w2
Shift : 8-5 MF
Duration : 12 weeks
Required Education Level :
Associate's degree or equivalent job-related experience required, Submit with education verification
Experience Minimum of 3 years' experience processing medical claims in the healthcare industry.
Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable
Job Requirements : Education / Skills
Associate's degree or equivalent job-related experience required.
Experience : Minimum of 3 years' experience processing medical claims in the healthcare industry.
Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable.
Process medical claims submitted on CMS-1500 and CMS-1450 / UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc.
Summary :
The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations.
This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
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