Medical Claims Examiner - Clearwater Beach, FL - Premier Administrative Solutions

    Premier Administrative Solutions
    Premier Administrative Solutions Clearwater Beach, FL

    6 days ago

    $45,000 - $80,000 (USD) per year *
    Description

    Medical Claims Examiner

    A Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. They review, request information, initiate investigations, document claims, maintain production standards, participate in training, adhere to company policies and confidentiality standards.

    • Review and adjudicate medical claims
    • Request additional information from members and providers
    • Initiate claim investigations for pre-existing conditions, accidents, medical necessity, eligibility and coordination of benefits

    Responsibilities:

    This role requires strong organizational skills along with excellent written and verbal communication skills.

    • Detailed oriented

    CERTIFICATES ARE NOT NECESSARY BUT COMPUTER SKILLS INCLUDING PROFICIENCY IN MS WORD ACCESS POWERPOINT EXCEL AND OUTLOOK ARE ESSENTIAL ENVIRONMENTAL FACTORS INVOLVE SITTING LISTENING ON THE TELEPHONE TYPING DATA ENTRY VISION TO MONITOR BENDING REACHING KNEEL STOOP LIFT UP TO THIRTY POUNDS
    * This salary range is an estimation made by beBee
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