Job Description
Job Description
Hybrid/ Full Time (Must be able to go onsite for training the first two weeks)
A national healthcare consulting and claims administration organization is adding a Medical Claims Examiner due to continued growth and increased client volume.
On a daily basis, you will review professional and facility medical claims for accuracy, medical necessity, and policy alignment. You’ll interpret clinical documentation and coding to determine appropriate payment outcomes, identify discrepancies or potential overbilling, and communicate decisions to providers and internal partners.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), se...
Hybrid/ Full Time (Must be able to go onsite for training the first two weeks)
A national healthcare consulting and claims administration organization is adding a Medical Claims Examiner due to continued growth and increased client volume.
On a daily basis, you will review professional and facility medical claims for accuracy, medical necessity, and policy alignment. You’ll interpret clinical documentation and coding to determine appropriate payment outcomes, identify discrepancies or potential overbilling, and communicate decisions to providers and internal partners.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), se...