Medical Claims Examiner

Job Title : Medical Claims Examiner

Location : Richmond, Virginia

Job Type : Contract to Hire

Job Description :

A reputable healthcare organization in Richmond, Virginia, is seeking a detail-oriented and experienced Medical Claims Examiner. This role is essential for ensuring accurate and timely processing of medical claims. The ideal candidate will have a strong background in medical claims examination, excellent analytical skills, and a commitment to maintaining the highest standards of accuracy and compliance.

Key Responsibilities :

• Review and process medical claims in accordance with established guidelines and procedures.
• Verify the accuracy of claim information and ensure all necessary documentation is complete.
• Identify and resolve discrepancies or issues with claims.
• Communicate with healthcare providers, patients, and insurance companies to obtain additional information or clarify details.
• Maintain up-to-date knowledge of industry regulations and standards.
• Ensure compliance with all relevant laws and regulations.
• Prepare detailed reports and documentation as required.

Qualifications :

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our program provides employees with the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details : $20.00 to $25.00 per hour

Search managed by : Marisa Marques

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer / Veterans / Disabled

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable :

Salary : $20 - $25