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    Claims Examiner - Folsom, United States - Fortuna BMC

    Fortuna BMC
    Fortuna BMC Folsom, United States

    4 weeks ago

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    Description

    Pay: $20 - $26 per hour
    Location: Folsom, CA
    Employment Type: Full-time

    WHAT WE OFFER:

    • Competitive pay rates based on experience and expertise
    • Comprehensive benefits package including medical, dental, and vision coverage
    • 401k with generous company match
    • Ample paid time off and holidays
    • Dynamic work environment with opportunities for growth and advancement
    WHAT YOU'LL DO:
    • Adjudicate medical claims in accordance with established guidelines, ensuring accuracy and compliance with plan regulations.
    • Utilize your expertise in ICD-10, CPT, and HCPCS codes to accurately process claims and minimize errors.
    • Collaborate effectively with healthcare providers to obtain necessary documentation for timely claim resolution, demonstrating strong communication skills.
    • Maintain high standards of accuracy and efficiency in claim processing workflows, contributing to overall operational excellence.
    WHAT YOU'LL BRING:
    • 3-5 years of experience in the employee benefits industry, demonstrating a solid understanding of medical claims adjudication processes.
    • Proficiency in ICD-10, CPT, and HCPCS codes, enabling accurate and efficient claim processing.
    • Strong attention to detail and ability to thrive in a fast-paced environment, ensuring consistent quality in claim processing.
    • Excellent communication and interpersonal skills, facilitating effective collaboration with internal and external stakeholders.
    A drug and background screening is required for this position.
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