Claims Examiner - Chicago Illinois

Company: VirtualVocations
Location: Chicago, Illinois
Posted On: 01/14/2025

A company is looking for a Claims Examiner (Managed Care) - Remote.



Key Responsibilities

Adjudicate claims accurately and consistently according to company policies and guidelines
Investigate and complete open or pended claims while meeting production and quality standards
Research claims and analyze data to determine appropriate codes, fees, and timely filing


Required Qualifications

Three (3) years of medical claims processing experience for Medicare and Commercial products
Three (3) years of experience with specialty claims processing
Preferred experience with automated claims processing systems, such as Epic Tapestry
High School Diploma/GED required; Bachelor's degree in Healthcare or related field preferred More...

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