Claim examiner Jobs in Columbus, OH

Sr Med Bill Examiner - CJ10DN

We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future.

The Medical Billing department is seeking a dynamic individual to fill a vacant Senior Medical Bill Examiner role. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including:

• Analyzing of bill for proper assignment of detailed medical coding information

• Interpreting workers compensation rules for repricing

• Entering/correcting data of medical bill information

• Accurate billing per the American Medical Association

• Review of medical documentation to support billing

• Ability to discuss coding to medical providers

Qualifications:

• Certified Coding Designation is REQUIRED

• Medical terminology/coding coursework or experience preferred

• Requires an ability to break down explanations of complex processes and rules into manageable information

• Requires a demonstrated level of competency relative to initiative, willingness to act, ability to deal with ambiguity, customer focus, composure, active listening, time management, priority setting and ability to multi-task

• A minimum of 2 years of experience in medical bill processing or coding required

• Excellent data entry skills / Requires computer literacy and strong keyboard skills

• Requires excellent communication skills

• Requires an ability to problem solve

• High school diploma or equivalent required

• Requires some college or equivalent experience

Additional Information:

• Projected Start Date: TDB

• This role can have a Hybrid or Remote work schedule.? Candidates who live near one of our office locations (Hartford CT, San Antonio TX, Naperville IL, Lake Mary FL, or Scottsdale AZ) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).? ?Candidates who do not live near an office will have a remote work schedule, with the expectation of coming into an office as business needs arise.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$49,920 - $74,880

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age