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Health Care Claims Examiner

Job in Columbus - Franklin County - OH Ohio - USA
Company: Business Administrators & Consultants, Inc.
Full Time, Contract position
Listed on 2019-03-17
Job specializations:
  • Administrative
    Medical Administration
  • Healthcare
    Medical Billing and Coding, Medical Office, Medical Records
Job Description & How to Apply Below
Job Description

The priority in this position is to accurately and promptly pay claims while maintaining expected level of production and accuracy.

  • Adjudicate claims in accordance with the Summary Plan Document
  • Review claims for coordination of benefits, correct coding edits and duplicate billings
  • Request additional information when needed
  • Interact with client representatives, members and providers
  • Perform other duties as assigned

Basic Skills and Qualifications Required:

  • Previous medical claim processing experience
  • Strong understanding of Group Health Benefit Plan provisions
  • Medical terminology, ICD and CPT coding knowledge
  • Attention to Detail is a must
  • Ability to work in a fast paced environment where changes to procedures are common
  • Excellent verbal, listening and written communication skills
  • Exceptional reading and math skills

Added plus for the ideal candidate:

· Multi-Lingual

· Problem solving skills

· Understanding of Flexible Spending, Dependent Care Assistance Plans and Health Savings Accounts


Position Requirements
Less than 1 Year work experience