Claims Examiner

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Essential Functions:

• Reviews providers’ disputes and appeals for professional and hospital claims to determine resolution according to policies and procedures.
  
• Adheres to state and federal policies and procedures when adjudicating claims, including but not limited to, interest calculation and resolution timeliness
• Perform any projects delegated by claims supervisor

Minimum Education/ Licensures/Qualifications

• High School Diploma or GED
  
• 1+ year experience handling provider disputes / appeals, preferably in PPO, Self-Funded and/or HMO setting
• Healthcare Background
• Understanding of Medical Terminology

• Shift: M-F 8am-5pm
• RTH or Temp-To-Perm (Any transition heavily depends on performance)
• Pay Rate: Up to 20/hour