Medical Claims Examiner

Job Description Job Description ** Medical Claims Examiner – Entry Level ** We are seeking a detail-oriented individual to join our team as a Medical Claims Examiner. ** Prior medical claims processing experience is not required. ** We provide extensive training and are interested in candidates with experience in medical billing, medical offices, patient accounts, insurance verification or similar healthcare administration. Responsibilities Review and process medical claims Research claim, benefit, eligibility, and payment questions Communicate with medical providers and plan members by phone Review EOBs, medical bills, claim forms, and supporting documentation Learn and apply health plan benefits, deductibles, copays, coinsurance. Document claim activity and telephone conversations accurately Work with other staff to resolve claim issues Qualifications Strong attention to detail and accuracy Good telephone and communication skills Comfortable working with numbers and computer systems Able to research problems and follow them through to resolution Able to learn and consistently apply detailed rules and procedures Professional when dealing with providers and plan members Helpful experience includes medical billing, healthcare customer service, patient accounts, insurance verification, EOBs, medical terminology, or other detail-oriented healthcare administration. #J-18808-Ljbffr Company Name Withheld