Claims Examiner

Intermountain Health; Las Vegas (NV); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Claims Examiner I to join their remote team. This role focuses on providing exceptional customer service while processing physician claims accurately and efficiently. You will be responsible for maintaining compliance standards and resolving complex claims issues. The ideal candidate will have a strong background in claims processing and customer service, with excellent attention to detail. This position offers a competitive hourly rate and a comprehensive benefits package that supports wellness and work-life balance, making it a great opportunity for those looking to grow in the healthcare field.

Benefits

Comprehensive Benefits Package

Wellness Support

Work-Life Balance

Qualifications

• One year of claims processing or customer service experience in managed care.
• Minimum of 100 SPM on ten key and 30 WPM typing.

Responsibilities

• Provide superior customer service and process medical claims accurately.
• Review claim images and determine benefits using plan documentation.

Skills

Claims Processing

Customer Service

Attention to Detail

Typing Skills

Education

Associate's Degree

Some College Coursework

Job description

Job Description:

The Claims Examiner I is responsible for inbound calls from providers and health plans, adjudicating physician claims accurately and in a timely manner.

Schedule:

5 days, 0700-1530 - This is a remote position.

Responsibilities include providing superior customer service, processing medical claims (CPT, ICD, Revenue Coding) at production standards, maintaining accuracy, and following compliance standards. The role also involves reviewing claim images and batches, using plan documentation to determine benefits, and participating in meetings and training.

Minimum Qualifications:

• One year of claims processing, claims logging, or customer service experience in a managed care environment.
• Minimum of 100 SPM on ten key and 30 WPM typing.

Preferred Qualifications:

• Associate's degree or some college coursework from an accredited institution.
• Excellent verbal, written, and interpersonal skills.
• Consistent accuracy and processing efficiency.
• Ability to resolve complex claims problems and attention to detail.

Physical Requirements:

Manual dexterity, hearing, seeing, speaking.

Location:

Central Office - Las Vegas

Work City:

Las Vegas

Work State:

Nevada

Scheduled Weekly Hours:

40

The hourly rate ranges from $18.38 to $26.65 depending on experience.

We offer a comprehensive benefits package supporting wellness and work-life balance. Learn more here.

Intermountain Health is an equal opportunity employer. We value diversity and inclusion in our workforce.

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All positions are subject to closure without notice.