1 Firstsource Job
Firstsource is Hiring a Remote Remote Claims Examiner
Responsibilities:
- Review and analyze medical claims to determine coverage and eligibility
- Investigate and gather information to support claim decisions
- Evaluate medical records, bills, and other documentation to ensure accuracy and compliance with coding standards
- Apply knowledge of medical terminology, coding systems (ICD-10, ICD-9), and billing procedures to process claims
- Communicate with healthcare providers, policyholders, and other parties to gather necessary information and resolve claim issues
- Make claim determinations based on policy guidelines and industry regulations
- Document claim decisions and maintain accurate records
Experience:
- Previous experience as a Claims Adjuster or in a related role preferred
- Knowledge of medical office procedures, including medical coding and billing
- Familiarity with medical terminology, systems, and documentation
- Understanding of insurance policies, coverage, and claims processes
- Strong analytical skills with the ability to review and interpret complex medical records
- Excellent attention to detail and accuracy in claims processing
- Effective communication skills to interact with various stakeholders
Note: This job description is not intended to be all-inclusive. The employee may perform other related duties as negotiated to meet the ongoing needs of the organization.
Job Type: Full-time
Salary: $16.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
Job Summary
Full Time
Business Services
$54k-70k (estimate)
08/19/2023
05/30/2024
firstsource.com
COLORADO SPRINGS, CO
100 - 200
2001
TIMOTHY P SMITH
$50M - $200M
Business Services
Related Companies
About Firstsource
Helping customers stay ahead of the curve through transformational technologies and capabilities Firstsource Solutions Limited, a RP-Sanjiv Goenka Group company, is a leading provider of transformational solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology and other industries. Our Digital First, Digital Now approach helps organizations reinvent operations and reimagine business models, enabling them to deliver moments that matter and build competitive advantage. With an established presence in the US, th ...
e UK, India and the Philippines, we act as a trusted growth partner for over 100 leading global brands, including several Fortune 500 and FTSE 100 companies.
More
Show Less
The job skills required for Remote Claims Examiner include Financial Services, Problem Solving, Written Communication, Claim Processing, CPT, etc. Having related job skills and expertise will give you an advantage when applying to be a Remote Claims Examiner. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Remote Claims Examiner. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Remote Claims Examiner positions, which can be used as a reference in future career path planning. As a Remote Claims Examiner, it can be promoted into senior positions as a Claims Examiner III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Remote Claims Examiner. You can explore the career advancement for a Remote Claims Examiner below and select your interested title to get hiring information.
If you are interested in becoming a Claims Examiner, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Examiner for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claims Examiner job description and responsibilities
Most medical claims examiners deal with paperwork on a daily basis and they are expected to work on multiple claims per day.
04/03/2022: Springfield, MA
Each claim often comes with supporting documents such as medical records and hospital bills and examiners need to look over each file carefully.
03/08/2022: Manchester, NH
Claims examiners are responsible for approving or rejecting claims or arranging settlements.
01/25/2022: Santa Fe, NM
Examiners may review medical bills or accident reports and they may consult specialists.
01/30/2022: Santa Barbara, CA
The Claims Examiner maintains a full case load of professional liability claims.
01/24/2022: Monroe, LA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claims Examiner jobs
Keep reading to learn more about a claims examiner role.
03/28/2022: Oklahoma City, OK
Candidates should know that having a critical thinking and outstanding decision-making give examiners the logic and reasoning to evaluate and resolve claims.
04/05/2022: Tulsa, OK
Most employers require or strongly prefer medical claims examiners that have some medical background such as a postsecondary diploma.
03/11/2022: San Antonio, TX
To determine whether a claim should be rewarded, an examiner must be aware of the red flags associated with fraudulent claims and possess detailed analysis skills.
01/30/2022: Bellingham, WA
To begin a career as a medical claims examiner, one must first learn certain knowledge and skills that will help them execute the duties of the job.
02/17/2022: Lawton, OK
Step 3: View the best colleges and universities for Claims Examiner.
Similar Jobs
Popular Articles
