Claims processing refers to the insurance company's procedure to check the claim requests for adequate information, validation, justification and authenticity.
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Job Summary. This position is responsible for following written criteria, policies and procedures in reviewing and processing claims received from Out of Group providers to determine if such claims are appropriate for payment. The position also considers eligibility, benefits, authorizations, coding, compliance, contracted payment terms and health plan contracts to decide the disposition of a claim. The contracts can change annually and the exami...
Please review the job details provided and advise if you would be interested in discussing the specifics. Job Title –. Claims Examiner. Duration- 3 months contract to hire. Location- Irving, Texas, 75039. Pay Rate - $22.54/hr. Note: Need a copy of educational certificate Or transcript at time of applying. Summary. The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance wi...
