Senior Claims Examiner

•Onsite Zodiac Healthcare Irving, TX Job Details Contract $19

•$22 an hour 1 hour ago Qualifications Research High school diploma or GED Health insurance experience Attention to detail Escalation handling Full Job Description Senior Claims Examiner

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Onsite Location:

Irving, TX Schedule:

Monday-Friday, Onsite Pay Rate:

$20

•24/

HR Job Duties:

Review and process medical insurance claims. Check claims for errors and correct payment issues. Process CMS-1500 and UB-04 claims. Handle overpayments, underpayments, refunds, adjustments, and reimbursements. Research and resolve complex claims issues. Follow company policies and federal regulations. Work with internal healthcare/claims departments. Escalate complex issues to supervisors or managers.

Required:

High School Diploma or equivalent. Minimum 3 years of medical claims processing experience . Healthcare industry experience. Strong attention to detail and problem-solving skills.

Preferred:

Experience with CMS-1500 and UB-04 claims. Experience with claims adjustments, overpayments, and reimbursements. Experience with healthcare claims systems and testing. You can ping me at 484 604 8730

Pay:

$19.00

•$22.00 per hour Expected hours: 40.0 per week Application Question(s): How many years of hands-on medical claims processing experience do you have? Explain your experience working with CMS-1500 and

UB-04/CMS-1450

claims. What did you review on these claims? Walk me through how you review a medical claim from receipt through final adjudication/payment. What experience do you have handling claim denials, underpayments, and overpayments? Please give an example. Active email & contact no Best time to reach?

Work Location:

In person