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About us
Group Administrators is a Third Party Administration that has been in business for over 35 years. We provide administrative services for self-funded health insurance plans and process all claims in house. As our business is growing, we are looking to add to the team.
```Duties```
- Review and analyze medical claims for accuracy and completeness
- Determine the appropriate payment or denial of claims based on policy guidelines
- Verify medical coding and billing information to ensure compliance with industry standards
- Investigate and resolve any discrepancies or issues related to claims
- Communicate with healthcare providers, insurance companies, and policyholders regarding claim status and resolution
- Maintain accurate records of claims processing activities
```Experience```
- Minimum of 2 years of experience in medical claims examination or related field
- Proficient in medical collection systems and software
- Knowledge of medical office procedures and terminology
- Familiarity with medical billing processes, including CPT coding and ICD-10 coding
- Strong attention to detail and ability to accurately interpret medical records and documentation
The Claims Examiner position requires a high level of accuracy, attention to detail, and knowledge of medical coding and billing practices. The successful candidate will have experience in reviewing and analyzing medical claims, as well as excellent communication skills to effectively resolve any issues or discrepancies. This role plays a crucial part in ensuring accurate claims processing and maintaining positive relationships with healthcare providers and policyholders.
Please note that this is not an entry-level position. Candidates must have a minimum of 2 years of experience in medical claims examination or a related field. Proficiency in medical collection systems and software is also required.
If you are looking for a challenging role in the healthcare industry where you can utilize your expertise in medical coding, billing, and claims examination, we encourage you to apply for the Claims Examiner position. We offer competitive compensation packages, comprehensive benefits, and opportunities for professional growth within our organization.
To apply for this position, please submit your resume with your relevant experience in medical claims examination. We look forward to reviewing your application!
Job Type: Full-time
Pay: $18.00 - $22.00 per hour
Benefits:
Schedule:
Work setting:
Ability to Relocate:
Work Location: In person
Full Time
Insurance
$49k-65k (estimate)
04/27/2024
08/23/2024
groupadministrators.com
SCHAUMBURG, IL
50 - 100
1985
DAVID DORFMAN
$10M - $50M
Insurance
Group Administrators is a hospital & health care company based out of 9390 Research Blvd, Austin, Texas, United States.
The job skills required for Medical Claims Examiner include Claim Processing, Billing, Attention to Detail, Health Insurance, Communication Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical 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 Medical Claims Examiner. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Claims Examiner positions, which can be used as a reference in future career path planning. As a Medical Claims Examiner, it can be promoted into senior positions as a Disability Claims Examiner, Sr. that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Claims Examiner. You can explore the career advancement for a Medical Claims Examiner below and select your interested title to get hiring information.