Medical Claims Examiner

hace 3 semanas


Xico, México First Image Consulting Peru Sac A tiempo completo

**Job Summary**

We are seeking a highly organized and detail-oriented Medical Claims Examiner to join our team at First Image Consulting Peru Sac. As a Medical Claims Examiner, you will be responsible for examining, processing, and calculating medical claims, ensuring accurate and timely filings, documentation, and reports.

**Key Responsibilities**

  • Assist claimants, providers, and clients with problems or questions regarding their claims and/or policies
  • Process claims reimbursements for gaps
  • Transfer deductibles
  • Help file Short and Long-Term Disability Claims
  • Assist with Medication Issues
  • Assist with authorizations
  • Verify benefits
  • Provide insurance information to providers
  • Assist with appeals

**Requirements**

  • High school diploma or general education degree (GED)
  • Six to 12 months of related experience and/or training (or equivalent combination of education and experience)
  • Ability to read and interpret documents such as medical and drug manuals, and procedure manuals
  • Ability to define problems, collect data, establish facts, and draw valid conclusions
  • Ability to handle high volumes of claims and work independently with minimal supervision

**Work Schedule**

Monday to Friday, 9:00 am to 6:00 pm

**Application Questions**

  • What is your level of proficiency in Microsoft Office?
  • Do you have medical claims experience?
  • What is your expected salary income for this full-time job?

**Experience**

Customer service: 1 year (required)

**Language**

Do you speak both Spanish and English fluently? (required)


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