Medical Claims Examiner

A company is looking for a Medical Claims Examiner.

Key Responsibilities

Receives and adjudicates medical claims / bills for payment or denial

Researches bills and claims for appropriate support documents and documentation

Analyzes and adjusts data and benefits criteria for payment

Required Qualifications

3+ years of experience in medical claims processing

Experience with Medicare and Medicaid

High school diploma or equivalent

Knowledge of claims processing and related coding (ICD-9, ICD-10, CPT)

Familiarity with medical billing and electronic health records (EHR / Epic, EMR)