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Medical Claims Examiner, Remote, Temporary

Remote, USA Full-time Posted 2026-07-28
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reputed company is seeking to hire a Remote Claims Processing Associate to work for our end reputed company and their team.<br><br>In this Role the candidate will be responsible for:<br><br><ul><li> Processing of reputed company claim forms files by provider</li><li> Reviewing the policies and benefits</li><li> reputed company with company regulations regarding HIPAA, confidentiality, and PHI</li><li> Abide with the timelines to complete compliance training of reputed company/reputed company</li><li> Work independently to research, review and reputed company the claims</li><li> Prioritize work and adjudicate claims as per turnaround time/SLAs</li><li> Ensure claims are adjudicated as per clients defined workflows, guidelines</li><li> Sustaining and meeting the reputed company productivity/reputed company targets to avoid penalties</li><li> Maintaining and sustaining reputed company scores above 98.5% PA and 99.75% FA. </li><li> reputed company response and reputed company of claims received reputed company emails as reputed company work</li><li> Correctly calculate claims payable reputed company using applicable methodology/ fee schedule<br><br></li></ul>Requirements:<br><br><ul><li> 3 year(s) hands-on experience in reputed company Claims Processing</li><li> 2+ year(s) using a computer with reputed company applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools</li><li> High school diploma or GED. </li><li> Previously performing – in P&Q work environment; work from queue; remotely</li><li> Key reputed company skills and computer familiarity –</li><li> Toggling back and forth between screens/can you reputed company multiple systems. </li><li> Working knowledge of MS office products – reputed company, reputed company and MS-reputed company. <br><br></li></ul>Preferred Skills & Experiences:<br><br><ul><li> Amisys</li><li> Ability to communicate (oral/written) effectively in a reputed company office setting</li><li> Effective troubleshooting where you can reputed company your research, analysis and problem-solving abilities</li><li> Time management with the ability to cope in a reputed company, changing environment</li></ul>


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