Remote Claims Examiner

We are seeking a highly-motivated and success-driven Medical Insurance Claims Representative who combines exceptional analytical and problem-solving skills, with the ability to positively adapt to change in a dynamic fast-paced environment.  It is also vital that you display exceptional verbal and written communication, negotiation and active-listening skills, as well as the ability to work effectively in an environment with fluctuating workloads.

Specific qualifications for this medical financial services role include:

  • High School diploma or GED
  • Ability to read and interpret general business correspondence, procedure manuals, and specific plan documents
  • Basic mathematical skills
  • Intermediate typing skills
  • Multiple computer application usage experience
  • Health claims processing experience a plus
  • Knowledge in the following a plus:
  • medical terminology
  • ICD-9/ICS-10, CPT, and HCPCS coding
  • HIPAA regulations

PC applications and systems