Healthcare Professional Claims Analyst

7 hours ago


Shrewsbury, Shropshire, United Kingdom University of Massachusetts Medical School Full time

Medical Claims Examiner Job Opportunity

Job Title: Medical Claims Examiner

About the Role:

The University of Massachusetts Medical School is seeking a Medical Claims Examiner to process professional and facility medical services claims by reviewing and inputting data into the claims payment system using standard policies, procedures, and guidelines.

Responsibilities:

* Process claims by reviewing and inputting data into the claims payment system.

* Interpret plan contract language and apply appropriate benefit coverages based on plan provisions.

* Ensure timely processing of claims to enhance service delivery and client satisfaction.

Requirements:

* Bachelor's Degree in a related field or equivalent experience.

* 3-5 years of claims processing experience and a minimum of 2 years of claims quality assurance experience.

* Strong research, problem-solving, and knowledge of contracts and Medicare regulations.

Salary Information:

The estimated salary for this position is $65,000 - $85,000 per year, depending on experience.

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