Medical Claims Examiner
  • Home
  • Medical Claims Examiner
Medical Claims Examiner

Website IT Recruiters for Tech Jobs -

IT Recruiting Company and Staffing Firm

Medical Claims Examiner, Tucson, AZ

The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider types and lines of business, reviewing and resolving rejected and/or denied claims, conducting research and analysis of claims and facilitating resolution of specific claims issues. The Medical Claims Examiner is also responsible for monitoring copays, deductibles, insurance verification, and authorizations, analyzing incoming and outgoing revenue sources and measuring different financial cycles on behalf of EHR software customers, as well as maximizing reimbursements and developing effective policies for billing and claim processing. This position is 100% Onsite. There is no flex schedule for this opportunity, hours are from 8am-5pm. Must have experience in medical records, scanning and sending releases to other agencies.

Medical Claims Examiner Responsibilities:

– Submit claims and encounters in a timely manner.
– Review and resolve rejected, pended, and/or denied claims within expected timeframes.
– Coordinate claim adjustments with the customer.
– Identify revenue cycle issues and implement solutions to improve systems and processes.
– Respond to calls on claims issues and provide information and resolution in a timely manner.
– Provide education and technical support to Claims Examiners and customers regarding claims-related issues through on-line training and in person training.
– Produce scheduled reports for leadership and customers.
– Prepare written inter-departmental and external correspondence.
– Develop and publish formal written guidance for customers to process claims.
– Analyze encounter-processing data using statistical methodologies.
– Update and maintain electronic billing manual and distribute updates as directed.
– Compare business operations and coordinate technical analysis support for upcoming collection of accounts.

Medical Claims Examiner Qualifications:

– High School diploma or GED plus five (5) years full-time data entry experience in claims processing, accounting, analysis and adjudication of Medical and/or Behavioral environment.
– Must have experience in medical records, scanning and sending releases to other agencies.
– Excellent communication skills with coworkers and patients.
– Medical claims experience.
– Experience in Insurance verification.
– Medical records experience.
– Patient pay and collections experience.
– Insurance Payment review experience.
– Claims submission and billing experience.
– Experience with ICD10, CPT, HCPCS, and Inpatient coding and billing and knowledge of HIPAA regulations.
– Knowledge of Microsoft Excel and 10-key by touch.
– Knowledge of and experience working with Electronic Health Records system(s).
– Ability to translate customer needs to technical and/or business process solutions.
– Ability to effectively work with internal teams across numerous functions and levels.
– Ability to quickly learn complex business processes and understand the underlying transactional systems.
– Strong customer service skills and abilities.
– Exceptional communication skills, including strong customer-facing presentation and facilitation skills.
– Ability to work on multiple projects.
– Strong attention to detail and follow-through skills.
– Experience working in a team-oriented, collaborative environment.
– Strong analytical and problem-solving abilities.
– Comply with all policies, procedures and contractual/regulatory requirements.
– Within one month of hire, complete new-employee orientation.
– Complete and provide all training as directed.
– Provide documentation related to formal education, training, and compliance with general and physical requirements as requested.
– Demonstrate ethical behavior.
– Demonstrate dependability by reporting to work on-time and working required hours/days.
– Achieve monthly goals developed with the supervisor.
– Able to speak, read and write in both English and Spanish is a big plus.

Keywords: Tucson AZ Jobs, Medical Claims Examiner, ICD10, CPT, HCPCS, HIPAA Regulations, In-Patient Coding, In-Patient Billing, Electronic Health Records, EHR, Excel, Data Entry, Claims Processing, English, Spanish, Medical, Healthcare, Arizona Recruiters, Information Technology Jobs, IT Jobs, Arizona Recruiting

Looking for a top IT recruiter to help your company hire for similar positions in Tucson, AZ or in other cities? Our IT recruiting agencies and staffing companies can help.

We help companies that are looking to hire Medical Claims Examiners for jobs in Tucson, Arizona and in other cities too. Please contact our IT recruiters for tech jobs and IT recruiting companytoday! Phone 630-428-0600 ext. 14 or email us at Click here to submit your resume for this job and others.

Atlanta Tech Recruiters, Austin Technology Headhunters, Baltimore Technology Headhunters, Boston Massachusetts IT Recruiters, Charlotte North Carolina IT Recruiters, Chicago IL IT Recruiters, Cincinnati Executive Staffing, Cleveland IT Recruiters, Columbus IT Recruiters, Dallas Recruiting Agency, Denver Executive Search Firms, Detroit Executive Tech Recruiting, Fort Lauderdale Technical Recruiters, Houston Recruiters for IT, Indianapolis Technology Headhunters, Jacksonville IT Headhunters, Kansas City Information Technology Recruiters, Los Angeles IT Recruiters, Miami IT Recruiters, Minneapolis IT Recruiters, Nashville IT Recruiters, New Jersey IT Recruiters, New York IT Recruiters, Phoenix IT Recruiters, Raleigh IT Recruiters, Salt Lake City Tech Recruiters, San Antonio IT Recruiters, San Diego IT Recruiters, San Francisco IT Recruiters, San Jose IT Recruitment, Seattle Information Technology Recruiters, Silicon Valley Executive Staffing, St Louis Executive Search Firms, Tampa Executive Tech Recruiting, Washington DC Technical Recruiters

Information For Employers > General Information | About Us | How We Work | Trading Industry | Healthcare Information Technology | Government Contract Expertise | Request Services

Information For Job Seekers > General Information | Find A Job | Submit Resume | How We Work | Trading Industry Tech Pros | Healthcare (HIT) | Security-Cleared | Successful Interviewing | Sample Interview Questions

General Information > About Us | Our Values | Meet Our President | Position Types | Technologies | Blog | Coverage Area

Upload your resume or any other relevant file. Max. file size: 128 MB.

employmentType : FULL_TIME
baseSalary : OPEN
streetAddress : OPEN
postalCode : OPEN