Doctors HealthCare Plans, Inc.
Senior Medical Claims Examiner
Doctors HealthCare Plans, Inc., Coral Gables, Florida, United States
A healthcare organization in Florida is looking for a Claims Examiner III to ensure claims are processed according to standards. Responsibilities include reviewing claims, processing reimbursements, and collaborating with management on workflow and quality metrics. The ideal candidate has a High School Diploma (or GED) and at least 3 years of experience as a Medical Claims Examiner. Knowledge of CMS guidelines and contract interpretation is essential.
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