Medical Claims Examiner I

Premier Inc.
Full time
Healthcare
United States
Hiring from: Anywhere

Medical Claims Examiner I


Remote


What will you be Doing:


To ensure that all claims received for medical, dental and vision services are paid accurately and promptly in accordance with policies and procedures, client specific summary plan descriptions and performance parameters in accordance with department standards and as set forth in the client’s Service level Agreement



  • Claims Processing

  • Claims Investigations

  • Coordination of Benefits


Required Qualifications:


Work Experience:



  • 1 Year Applicable Experience


Skills & Experience (top 3 skills):



  • Knowledge of Health Benefit Plans and Health Benefit Terminology

  • Medical Terminology

  • Explanation of Benefits


Education:



  • High School Diploma or GED


Preferred Qualifications:



  • Experience with dental and vision claims

  • Ability to utilize a claims processing system


Education:



  • Associates Degree


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