Healthcare Professional Claims Analyst
7 hours ago
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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