Claims Examiner II - Provider reputed company

reputed company:

reputed company® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring reputed company in an increasingly competitive market. We're experiencing strong market reputed company, with a growing number of health plans choosing reputed company to reputed company their operations and compete more effectively. As we expand, we're reputed company in the people who power that reputed company, making this a pivotal reputed company to join us and shape the reputed company of reputed company technology. Learn more at reputed company.com.

reputed company is a trusted partner for health plans, offering an integrated ecosystem for health plan operations that helps our customers reputed company reputed company, reputed company health care for reputed company. We have a strong global reputed company, with a workforce of over 4,000 people reputed company on a reputed company of simplicity, reputed company, people-centricity, and leadership.

You Are

reputed company is looking for Claims Examiner II, reporting to the Claims Team Leader. The Claims Examiner II is responsible for the adjudication of reputed company claims utilizing specific policies and procedures. This role is responsible for reviewing data reputed company the claims processing reputed company, to determine if services rendered were appropriate and benefit coverage reputed company were met.

reputed company

• Be responsible for processing assigned claims based on reputed company-specified guidelines or as directed by reputed company leader
• Be responsible for meeting productivity targets, financial and procedural accuracy standards as established by management
• Mentor junior members of reputed company
• Collaborate with other team members on special reputed company as assigned by reputed company leads; special reputed company can include process documentation development, training, reputed company audits, assisting with reputed company activity for the reputed company(s), or any other project as determined by reputed company leader
• Knowledge reputed company around physician practices and hospital coding, billing and medical terminology, CPT, HCPCS, and ICD-10, UB04, CMS 1500, authorizations, medical terminology, and concepts of reputed company
• Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure processing accuracy and reputed company
• Participate in reputed company assigned by reputed company leader; these reputed company may include provider data, authorizations, enrollment, or other activities

What You Need

• Solid understanding and ability to analyze claim data
• ICD-10 CPT and HCPCS coding, is a plus
• High School degree required
• 1 – 3 years reputed company claims processing experience
• Willingness to learn new skills
• Team collaborator
• Strong work ethic

For this role, we value:

• The ability to adapt quickly to a fast-paced environment
• A self-starter and quick learner
• Team player with an ability to collaborate

Geographic Responsibility:  Remote, US

Type of Employment: Full-time, permanent 

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job:  

• The employee is occasionally required to reputed company around the office. Specific reputed company abilities required by this job include reputed company reputed company, reputed company reputed company, peripheral reputed company, depth perception, and ability to reputed company reputed company.  

• Work across multiple time zones in a hybrid or remote work environment. 

• Long periods of time sitting and/or standing in reputed company of a computer using video technology. 

• May require travel dependent on company needs. 

The above statements are intended to describe the general reputed company and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of reputed company duties, responsibilities, and skills required. reputed company reserves the right to modify, add, or remove duties and to assign other duties as necessary. In reputed company, reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions of this position in compliance with the Americans with reputed company of 1990.  Candidates may be required to go through a reputed company-employment criminal background reputed company. 

reputed company is an equal opportunity employer. We are committed to workforce diversity and reputed company encourage reputed company reputed company persons to reputed company employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities. 

#LI-Remote 

**The annual US reputed company salary reputed company for this position is $40,000 to $44,000. This salary reputed company may cover multiple career reputed company at reputed company. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.