Healthcare Benefits Claims Examiner

Responsibilities Ensure accuracy of claims adjudication while maintaining quality and turnaround goals. Adjudicate medical, dental and vision claims. Review plan documents for various groups to apply appropriate benefits to claims being adjudicated. Prioritize assigned claims by adjudicating oldest claims first. Communicate effectively with internal auditors and management team. Perform other related duties, as assigned. Requirements At least 6 months prior experience in the healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support. Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired. Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency. Strong interpersonal skills with excellent verbal and written communication skills. Keyboard and Windows skills are a must. Ability to work using Excel spreadsheets. Eager to learn the TPA industry and new concepts and processes. Blue Care experience and medical coding and terminology a plus. #J-18808-Ljbffr Jobtailor