AMERIHEALTH CARITAS HEALTH PLAN Claims Examiner Salary in the United States
How much does a Claims Examiner make at companies like AMERIHEALTH CARITAS HEALTH PLAN in the United States? The average salary for Claims Examiner at companies like AMERIHEALTH CARITAS HEALTH PLAN in the United States is $55,945 as of May 28, 2024, but the range typically falls between $48,103 and $63,788. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target. View the Cost of Living in Major Cities
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What does a Claims Examiner do at companies like AMERIHEALTH CARITAS HEALTH PLAN?
- Complies with all internal processes and procedures to ensure activities are handled in accordance with departmental and company policies and procedures.
- Review, research, analyze, and process complex healthcare claims by navigating multiple computer systems and platforms and accurately capturing the data/information for processing (e.g. verify pricing, prior authorizations, applicable benefits).
- Escalates claim and/or system issues to Team Lead or Supervisor.
- Creates and supports a professional environment which fosters teamwork, cooperation, respect and diversity.
- Meet department quality and production requirements
- This position is required to meet and maintain performance goals established for the position in the areas of quality and production.
- Process claims for multiple Lines of Business as requested by management.
- Understands processing rules for multiple lines of business and supports other lines of business as needed to meet business needs.
- High School/GED required
- Associate’s Degree preferred
- One to three years prior claims experience preferred
- Mathematical aptitude and analytical skills
- Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and leaning new computer programs.
- Ability to research and investigate information using multiple sources and documented guidelines
- Strong interpersonal skills
- Excellent listening, verbal and written communications skills
- Excellent comprehension, reasoning and decision making skills
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