What are the responsibilities and job description for the Claims Examiner-Claims Processor position at PayerFusion?
Job Description
Job Description
About us :
PayerFusion is a healthcare administrative solutions provider that offers health insurers and self-funded employers throughout the US and worldwide with innovative, cost-effective ways to process medical claims, maintain high customer satisfaction levels, and manage healthcare expenses.
The Opportunity :
PayerFusion is looking for an experienced Claims Examiner-Claims Processor to join our dynamic team. The successful candidate will help streamline our claims process and improve customer satisfaction. This is a great opportunity for an individual who enjoys working in a fast-paced, team-oriented environment.
Job Responsibilities :
- Analyze and process claims in accordance with our clients’ policies and procedures.
- Identify and investigate inconsistent or fraudulent claims.
- Liaise with healthcare providers and policyholders regarding claims processing issues.
- Perform regular quality audits on completed claims.
- Document claim process and keep track of claim data for reporting and analysis.
Desired Qualifications :
Nice-to-Haves :
Benefits :
