What are the responsibilities and job description for the Claims Examiner position at Atlas Search?
We are partnering with a healthcare company that is seeking multiple Claims Examiners to join their team. The company is located in Westbury, NY.
- Review and adjudicate claims submitted for reimbursement that fall outside auto adjudication standards on a daily basis, ensuring compliance with quality, productivity, and timeliness requirements.
- Apply medical policies, contractual provisions, and operational procedures to ensure precise adjudication and adjustments.
- Generate correspondence, such as letters and questionnaires, to gather additional information from customers and providers; may also initiate phone inquiries.
- Collaborate with Customer Service to address and resolve customer inquiries and concerns effectively.
- 1 year of experience is required
