Ajilon has partnered with a thriving company to immediately fill several tempto perm Medical Claims Examiner job openings in Fort Worth, TX. If you have atleast one year experience processing claims with an insurance company, TPA orHMO then this would be an excellent opportunity for you to explore! Yourattention to detail and medical knowledge would be an asset and our clientwill provide you with a stable working environment. Please continue reading tolearn more about what this position entails.

Job responsibilities include:

* Under general supervision completes assigned initiatives as defined by the Claims Department* Under general supervision audits medical records to identify documented diagnosis for submission to Medicare/Medicaid Advantage Plans* Data entry as assigned* Determine covered medical insurance losses by studying provisions of policy* Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter* Protects operations by keeping claims information confidential* Maintains quality customer services by following customer service practices; responding to customer inquiriesQualifications:* At minimum, 1-3 years experience processing claims with an insurance company, TPA or HMO* Medicare claims processing experience a must* QNXT experience a plus* RIMS experience a plus* Quick Link experience a plus* Must possess knowledge of medical terminology and basic coding guidelines* Must be detail oriented* Must be dependable, exhibit strong initiative, and be self- motivatedWould you like to be considered for these Medical Claims Examiner Jobs in FortWorth, TX?If so, then click apply now below.Or, visit our website at to apply or peruse other available opportunities with us.

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Associated topics:
auto, automobile, claim examiner, claim investigator, damage, fraud, insurance, insurance examiner, insurance investigator, title examiner

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