What are the responsibilities and job description for the Claims Examiner position at Workway?
Workway is a professional staffing firm, working with organizations across the country to place exceptional candidates. No matter what position within the organization, you'll experience tremendous professional satisfaction in an environment where they genuinely support and appreciate each other.
We are looking for a Claims Examiner responsible for responsible for claims processing, research and adjudication to correctly apply benefit determinations on routine uncomplicated medical claims (CMS 1500 and UB04) and Rx claims in accordance with claim processing guidelines.
Your specific duties will include:
- Processes and adjusts uncomplicated professional and facility and Reclaims according to claims processing guidelines
- Pends claims as directed by departmental policies and procedures, follows up for resolution and process pended claims immediately following a benefit / payment determination
- Works claims inventory from assigned queues to ensure all claims process within established turnaround time as directed by department policy and procedures
Specific qualifications for the position include:
- High school diploma or equivalent (GED)Associate degree preferred 1 year experience preferred
- Medical claims processing strongly preferred
- Medical terminology, CPT, HCPCS, ICD9, ICD10, and coding preferred
Let one of our recruiters assist you in finding and preparing for interviews with our clients. Whether you are interested in a direct hire, temp-to-hire, or temporary position, Workway can help you to put your best foot forward. Contact us today!
Job Types: Full-time, Contract
Pay: $16.00 - $18.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
Ability to commute/relocate:
- Temple, TX: Reliably commute or planning to relocate before starting work (Required)
Work Location: One location
