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Remote Health Insurance Claims Support Group Senior Claims Examiner

Company: VirtualVocations
Location: Delray Beach
Posted on: July 30, 2022

Job Description:

A health insurance company is in need of a Remote Health Insurance Claims Support Group Senior Claims Examiner.

Core Responsibilities Include:
Reviewing and investigating claims and encounters for medical, facility, pharmacy, dental and vision services
Auditing and handling of specific claims and appeal requests
Identifying defects and improving departmental performance by supporting quality, operational efficiency and production goals
Qualifications Include:

High School Diploma or GED from an accredited institution
Experience identifying root cause claims adjudication process failures and ability to quantify departmental impact
Experience with the investigation, determination and reporting of claims processes\
Experience working with Excel spreadsheets
Experience standardizing reports across multiple sheets, utilizing VLOOKUPs & functions/formulas, creating, using/interpreting pivot tables, etc
Experience handling Personal Health Information (PHI) in a professional manner

Keywords: VirtualVocations, Delray Beach , Remote Health Insurance Claims Support Group Senior Claims Examiner, Healthcare , Delray Beach, Florida

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