Sr Claims Examiner III
Company: VirtualVocations
Location: Fort Myers
Posted on: September 21, 2023
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Job Description:
A company is looking for a Sr. Claims Examiner III.
Key Responsibilities:
Adjudicate healthcare claims based on specific policies and
procedures
Review claims attachments to determine medical appropriateness and
benefit coverage criteria
Review claim and line item edits in the adjudication software
system for payment determination
Qualifications:
High School degree with 3+ years of relevant professional
experience in healthcare claims operations
Willingness to learn and succeed in a new career
Proficiency with MS Office applications, especially Word and
Excel
Knowledge of ICD-9 and ICD-10 coding, CPT and HCPCS coding, and
HIPAA
3+ years of claims or billing operations experience in a healthcare
setting
Keywords: VirtualVocations, Fort Myers , Sr Claims Examiner III, Other , Fort Myers, Florida
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here to apply!
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