What are the responsibilities and job description for the Medical Claims Examiner position at EEP?
Job Overview
We are seeking a detail-oriented and knowledgeable Claims Examiner to join our team. In this role, you will be responsible for reviewing and processing electronic medical claims to ensure accuracy and compliance with company policies and regulations. The ideal candidate will possess a strong understanding of medical terminology, coding systems, and have a strong attention to detail. Someone who has experience with quality control would be a great candidate.
Available shift: M - F 8am - 4:30pm, M - F 9am - 5:30pm, 10am - 6:30pm
Duties
- Review and analyze medical claims for accuracy, completeness, and compliance with policies.
- Ensure medical claims are validated for all patient information and data points
- Collaborate with medical offices to resolve discrepancies in claims submissions.
- Maintain organized medical records and documentation for all processed claims.
- Conduct audits of claims to identify trends or issues that may require further investigation.
- Must be able to work in a fast paced environment
- Must be able to work independently in a team environment
Experience
- Previous experience in a claim validation or quality control setting is preferred.
- 1-2 years medical record experience preferred
- Experience in medical billing, collections, or records management is a plus.
- Proficient in Microsoft office products
- Strong analytical skills with attention to detail for accurate claim assessment.
- Excellent communication skills to effectively interact with healthcare professionals and team members.
Join our team as a Claims Examiner where your expertise will contribute to the efficiency of our production operations while ensuring that our clients receive the best possible service.
Job Type: Full-time
Pay: $17.00 - $18.00 per hour
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- No nights
- No weekends
Experience:
- Quality control: 1 year (Preferred)
- Claims validation: 1 year (Preferred)
- data entry: 1 year (Preferred)
Work Location: In person
Salary : $17 - $18