Claims Examiner
Bob McCloskey Insurance Bob McCloskey Insurance Marlboro, NJ Marlboro, NJ Full-time Full-time $40,000 - $50,000 a year $40,000 - $50,000 a year 6 days ago 6 days ago 6 days ago A well-established and growing insurance company is currently recruiting for an experienced Claims Processor.
We offer a competitive salary, benefits, paid time off, and 401(K) with company contribution.
Job
Summary:
Responsible for reviewing adjudication software system's claim and line item edits for determination of whether to pay claim/line item(s).
Responsible for reviewing medical records when necessary to determine if service rendered was medically necessary and criteria was met.
Provide telephone support to client contact for issues related to claims status, claims adjudication questions, provider status, and any basic questions regarding accident coverage as stated in the policy document.
Qualifications:
-Minimum 1 year claims processing is required - Knowledge of physician practice and hospital coding, billing, medical terminology, CPT, HCPCS, ICD 9 & 10 - Ability to work at a computer for extended periods of time - Must be able to to work with minimal supervision - Good creative thinker and able to resolve issues in a timely manner - High School degree or GED required Bob McCloskey Insurance is an Equal Opportunity Employer Job Type:
Full-time Pay:
$40,000.
00 - $50,000.
00 per year
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Health savings account Life insurance Paid time off Professional development assistance Retirement plan Vision insurance Schedule:
8 hour shift
Experience:
Insurance Claims Adjusters & Examiners:
1 year (Required) Work Location:
Hybrid remote in Marlboro, NJ.
Estimated Salary: $20 to $28 per hour based on qualifications.
We offer a competitive salary, benefits, paid time off, and 401(K) with company contribution.
Job
Summary:
Responsible for reviewing adjudication software system's claim and line item edits for determination of whether to pay claim/line item(s).
Responsible for reviewing medical records when necessary to determine if service rendered was medically necessary and criteria was met.
Provide telephone support to client contact for issues related to claims status, claims adjudication questions, provider status, and any basic questions regarding accident coverage as stated in the policy document.
Qualifications:
-Minimum 1 year claims processing is required - Knowledge of physician practice and hospital coding, billing, medical terminology, CPT, HCPCS, ICD 9 & 10 - Ability to work at a computer for extended periods of time - Must be able to to work with minimal supervision - Good creative thinker and able to resolve issues in a timely manner - High School degree or GED required Bob McCloskey Insurance is an Equal Opportunity Employer Job Type:
Full-time Pay:
$40,000.
00 - $50,000.
00 per year
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Health savings account Life insurance Paid time off Professional development assistance Retirement plan Vision insurance Schedule:
8 hour shift
Experience:
Insurance Claims Adjusters & Examiners:
1 year (Required) Work Location:
Hybrid remote in Marlboro, NJ.
Estimated Salary: $20 to $28 per hour based on qualifications.
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