Medical Claims Examiners

Company Description

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!

Job Description

Are you an experienced Medical Claims Adjusters in the Annapolis, MD area seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with which to further your longterm goals? Are you seeking REAL advancement opportunities in-house with a Fortune 500 company? If you answered “yes" to any of these questions – then this opportunity may be for you!

**Preference will go to those who have current or previous experience from CareFirst, BlueCross, or other major insurance payor companies. We are looking for employees that understand PPO plans and have worked on the commercial line of business. Knowledge of processing physicians claims, Hospital claims, and ICD-10**

Daily Responsibilities:

Responsible for the accurate and timely adjudication of all claims in accordance with applicable contracts, state and federal regulations, health plan requirements, policies and procedures, and generally accepted business practices. 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.

Shift: Monday-Friday / 8:00 am – 5:00 pm

Pay: $18-22/hr (solely based on experience; Higher pay may be considered)

Advantages of this Opportunity:

• Competitive hourly pay above regional average!
• Longterm stability and individual professional growth potential from a national Healthcare company that continues to grow!
• Daytime, weekday schedule.
• You will have the opportunity to add great experience to your resume, while getting the chance to network with several future colleagues in a highly-competitive insurance claims field.

Qualifications

What We Look For:

• Verifiable High School Diploma or GED
  
• Ability to pass National Background Check and 10-panel drug test
  
• 1+ years of processing of managed care medical claims
  
• Knowledge of medical terminology
  
• Working knowledge of ICD.9.CM, CPT, HCPCS, RBRVS coding schemes
  
• Experience with different software and hardware systems for claims adjudication
  
• Accurate input of data for claims adjudication including: diagnostic and procedural coding, pricing schedules, member and provider identification, etc.
  

Additional Information

Interested in hearing more about this great opportunity? Reach out to Eric Westerfield at HealthCare Support Staffing for IMMEDIATE, SAME-DAY consideration. Interviews are being held THIS WEEK and immediate offers will be extended. Click APPLY NOW for more information; we look forward to hearing for you!