Medical Claims Examiner
5 Remote Temporary (6 Months) F/T Medical Claims Examiners Needed in Chicago Near Chinatown
Our client a busy Non-For-Profit Union Health & Welfare Fund located in Chicago near Chinatown has some staffing needs for 5 temporary (6 months) full-time Medical Claims Examiners. You will be responsible for processing 100+ medical claims per day for payment utilizing the Basys Software with a 98% accuracy rate.
You must be available to start group training on Tuesday, April 8th, 2025.
You will be required to report to the Chicago office only for the first day of work and then after the Claims Examiner Position will be remote work from home.
Monday-Friday (9:00am to 5:00pm) for a total of 37.5 hours paid hours per week.
Job Responsibilities
- You will be required to process 100+ PPO, HMO, Inpatient, and Outpatient Medical Claims per day with a 98% accuracy rate and to ensure that all of the necessary claim information is present.
- Promptly review and resolve medical claim denials.
- Review provider reconsiderations and reprocess the claim or generate letter(s) in response to the request.
- Process check-run cycles and check-run audits when assigned.
- Identify and report system issues, test and troubleshoot system configuration, completing reports, and run other system tasks or reports as assigned.
- Correspond to providers, members, and external vendors via mail, email, or phone
Job Requirements
- A High School Diploma is required.
- At least 1 year of recent medical claims processing experience.
- Knowledge and understanding of the healthcare insurance industry, including basic medical claim processing, subrogation, ICD-10 Diagnosis Codes, CPT Procedures Coding, HCPC Codes, HCFA 1500, and UB-02 claim forms.
- Strong understanding of plan documents and insurance policies.
- Basys Software experience is a plus.
- Intermediate Microsoft Office Proficiency in (Word, Excel, and Outlook) and the ability to type at least 40 WPM.
Click here: https://managedcarestaffers.com/postid-1978 to view the job post on our site and apply today!
If you or anyone you know is interested, qualified, and currently available for employment please answer the following questions and send an updated resume to emurawski@managedcarestaffers.com for immediate review and consideration:
- Are you ok with working a remote temporary 6-month contract position?
- Is $26 per hour an acceptable hourly pay rate for you?
- Are you available to start on Tuesday, April 8th, 2025?
- Are you willing to commute to the Chicago office for the 1st day of work only?
- How many years of medical claims processing experience do you currently have?
- Do you have any Basys Software experience? If yes, how many years?