Claims Examiner - Remote
$35,360–$37,440 year
On-site · Tampa, Florida, United States
Job Summary
Process medical claims end-to-end in a fully remote role. Responsibilities include reviewing and adjudicating medical claims with accurate coding and data entry, verifying patient eligibility and provider credentialing, resolving claim discrepancies through communication with internal resources, and maintaining detailed records. Participate in ongoing training and professional development, handle more complex claims with multiple services, and escalate unusual claims for further review. Requires 1-2 years of healthcare claims processing/adjudication experience, familiarity with ICD-9/ICD-10, and strong attention to detail. Department provides remote work, equipment, training, and comprehensive benefits.
Required Qualifications
- Experience with healthcare claims processing/adjudication
- Understanding of health claims processing/adjudication
- Ability to perform basic to intermediate mathematical computation
- Medical terminology strongly preferred
- Understanding of ICD-9 & ICD-10
- Basic MS Office computer skills
- Ability to work independently or within a team
- Time management skills
- Written and verbal communication skills
- Attention to detail
- Sound decision-making skills
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