Saturday, November 9, 2013

Claims Examiners Needed - 2 Locations

Job_Other_Compensation: Up to $17.00

Job Description:

Claims Examiners needed for an established health care facility!


- Process claims for all lines of business

- Determine correct level of reimbursement based on established criteria

- Negotiate reimbursement amounts for out-of-network claims

- Maintain databases used for reporting

- Determine prior authorization/precertification of services paid through system or health services.

- Review itemized billings for additional charges, medical coding, duplications

- Meet or exceed performance measurements

Minimum Requirements:

- 3 years of health care claims processing experience in a managed care environment

- Computer proficient

- Detail oriented

- Self-starter

- Strong understanding of medical terminology

We are an equal employment opportunity employer. You can view all of our jobs online at

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