Back to Search Claims Examiner II Category: Professional Location: Roseburg, OR 97470 Pay: $22.00 Hourly Posted: 2 days ago Status: Open Description

Claims Examiner II

Join a supportive, remote team processing Medicare claims with flexible hours, strong leadership, and competitive benefits.

Company Profile

This growing company provides third party Administration Services, processing health care claims for the last 30 years.

What's in it for you?

Elwood Professional associates are eligible for a comprehensive and competitive benefits package plus an exclusive savings program, including:

Medical/Vision/Dental/Rx plansHoliday PayTeladoc (online care)Referral Bonus IncentiveAnd More!

Claims Examiner II Details:

Contract to Hire position$22.00 /hourFirst ShiftEvaluate and adjudicate standard and non-standard claims based on department and CMS guidelinesMaintain appropriate inventory levels for assigned clientsEffectively analyze and interpret provider contractsCommunicate with clients and internal departments to resolve claim-related issues and obtain additional information as neededMaintain clear, concise, and accurate documentation of all claims processing activities and decisions within the claims processing departmentMeet or exceed departmental production and quality standardsAssist with adjustment projects as neededAdhere to strict confidentiality and security protocols, including HIPAA guidelines, and when handling all protected health information (PHI)Participate in training and stay informed on changes in healthcare regulations, policies, and industry standards

Claims Examiner II Qualifications:

3-5 years of experience in a Medicare claims adjudication environmentExperience in PACE or Medicare Advantage is preferredExperience in Plexis Claims Manager is strongly preferredAdvanced understanding of CMS guidelinesStrong knowledge of CPT, ICD-10, and HCPCS codingDetail-oriented with strong analytical skillsAbility to work independentlyEffective written and verbal communication skillsExcellent organizational and time management skillsProficient in Microsoft Office Suite (Outlook, Word, and Excel)Pre-employment drug screen is required as a condition of employment

We are an Equal Opportunity Employer and celebrate diversity at all levels of our organization.

How to Apply:

Email, call, or text us today! Feel free to apply online at www.elwoodjobs.com!

Oliver Bergen

3025 Washington Blvd.

Ogden, UT 84401

(801) 781-2310 ext.

oliver.bergen@elwoodprofessional.com

Qualifications

*See above for qualifications

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