Demo

Medical Claims Examiner

Rose International
Aurora, CO Temporary
POSTED ON 3/4/2025
AVAILABLE BEFORE 5/26/2025

Office Location (if remote, please provide the Client Site address) :

  • Remote local to Aurora CO)

Education requirement :

  • Required Level of Education HS Diploma
  • Years of experience :

  • How many years of related experience are you looking for in your ideal candidate? 3 years
  • Preferred skills :

  • Epic, Tapestry
  • Expected Shift :

  • M-F 8 : 00 am -4 : 30pm
  • Interview Process :
  • Virtual
  • Top Three things Worker will be doing :

  • Processing claims, Researching CRMs, Requesting information.
  • Top Three Skillsets needed :

  • Claims processing, Word, Excel
  • Key Responsibilities :

  • Receives and adjudicates medical claims / bills for payment / denial. Research claims / bills for appropriate support documents & / or documentation. Analyzes and adjusts data and benefits criteria for payment. Responds to and researches vendor and member problems, questions and complaints. (medical coding not included in description).
  • Only those lawfully authorized to work in the designated country associated with the position will be considered.
  • Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.
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