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Medicare Claims Adjudicator

Job in Miami, Miami-Dade County, Florida, 33222, USA
Listing for: Solis Health Plans
Full Time position
Listed on 2026-08-28
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 42000 - 66000 USD Yearly USD 42000.00 66000.00 YEAR
Job Description & How to Apply Below
Position: Medicare Claims Adjudicator I

Solis Health Plans is seeking a Claims Examiner I in Florida to adjudicate Medicare and DSNP claims accurately and timely, applying benefit plans and regulatory guidelines to new, reprocessed, and overturned claims to ensure proper payment and compliance.

Responsibilities include reviewing and processing claims, resolving disputes, and collaborating with Provider Relations, Appeals & Grievances, and Configuration teams to support member and provider satisfaction while maintaining quality and

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