Claims Examiner III
Claims Examiner III
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing review and adjudication of complex healthcare claims. This position requires expert knowledge of
claims processing coding and regulatory compliance. The Claims Examiner III will handle the most challenging cases mentor junior staff and contribute to the development of policies and procedures.
Qualifications
Minimum Qualifications:
- 3-5 years of experience in healthcare claims processing with at least 2 years in a senior or advanced role
- Expert knowledge of CPT ICD-10 HCPCS coding and medical terminology.
- Associates Degree - Associates Degree in healthcare administration business or related field preference or experience in lieu of.
Preferred Qualifications:
- 5-7 years of experience in healthcare claims processing with at least 4 years in a senior or advanced role
- EZCAP: 2 year experience
- Bachelors degree in healthcare administration business or a related field preferred. Equivalent work experience will be considered.
- Certified Medical Reimbursement Specialist (CMRS) or similar certification is preferred.
- CPC - Certified Professional Coder (CPC)
Employment Type
Unclear
