Claims Examiner

The Judge Group
Published
July 18, 2021
Location
Atlanta, GA
Category
Job Type

Description

Location: REMOTE
Description:

The Judge Group is in need of 3 Claims Examiner II temps to help with the increased work load. This position will be from now until 12/31/2021 and ideally we’d like the 3 candidates to start at the same time. 

Here’s the information:

  • Needed: ASAP
  • Length of time needed: now until 12/31/21
  • Location of candidates: candidates don’t need to live in the PST but do need to work hours on PST
  • Candidates need their own computer equipment
  • Training duration: finding out
  • Hours: 40 hours a week. Start time: 8:00am-4:30pm; once training is finished they can pick start time between 6am-6pm PST
  • Tasks: Timely review, investigation, and adjudication of all types of Medicaid, Medicare, Group or Individual medical, dental, & mental health claims. Get assignment in morning and work independently for the day. Will be time for questions and support from Lead and supervisors.
  • Required skills:
  • 2 years or more as a medical claims processor in the health insurance industry
  • Extremely experienced
  • Experienced with groups: COB, Authorizations, DRG manual pricing, SNF and Home Health
  • Knowledge of CPT, HCPCS, Revenue, DPT and ICD-10 coding
  • Knowledge of medical, dental, mental health and health insurance terminology
  • Understanding of State/Federal laws and other regulatory agency requirements that relate to the medical, dental, mental health and health insurance industry or Medicaid/Medicare industry
  • Ability to work in fast-paced environment with multiple priorities
  • Preferred skills: High level advanced knowledge
  • Personality fit: Able to work independently, self-driven;

Contact: [Click Here to Email Your Resumé]

This job and many more are available through The Judge Group. Find us on the web at www.judge.com
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