Claims Examiner
WelbeHealth
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $68,640 - $73,828 per year
About the role
- Assess appropriateness of returned, denied, or paid claims by reviewing and following contractual obligations, federal and state regulations, organizational policies and procedures, or other established quality standards
- Work alongside manager to establish and maintain claims processing rules that meet all regulatory and business requirements
- Assist internal and external partners with questions related to claims decisions or claims statuses
Requirements
- Minimum of three (3) years of experience with processing, researching, and adjudicating claims in a complex managed care environment
- In depth experience with Medicare and Medicaid claims processing
- Demonstrated skills within Microsoft Office Applications & electronic claims processing systems
Benefits
- Medical insurance coverage (Medical, Dental, Vision) starting day one of employment
- Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time
- Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!
- And additional benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims processingclaims researchclaims adjudicationMedicare claims processingMedicaid claims processing