Claims Examiner I - Denver Colorado

Company: VirtualVocations
Location: Denver, Colorado
Posted On: 02/07/2025

A company is looking for a Claims Examiner I responsible for reviewing and processing various health care claims.



Key Responsibilities

Adjudicate and process medical, dental, and vision claims according to regulatory requirements
Analyze claims and patient information to identify discrepancies and verify necessary documentation
Resolve issues related to claims processing and maintain compliance with HIPAA and other regulations


Required Qualifications

High school diploma or equivalent with 1-3 years of experience as a Health Claims Examiner or similar role
Minimum one year of experience in processing medical, dental, and vision claims
Ability to interpret Plan Documents and understand medical terminology
Familiarity with claims forms and coding systems such as ICD10, CPT, and HCPCS
Proficient in data entry and Microsoft Office applications More...

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