Medical Claims Examiner
hace 3 semanas
**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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