Claims Examiner I, El Paso Health

Summary

Responsible for entering claims, reviewing claims for clean claim elements, and rejecting claims to providers for claim correction or additional information. Must meet established production and quality standards.

Skills

• Knowledge of 10 key calculator
• Ability to perform basic math functions and reason logically
• Ability to work in fast-paced office environment with frequent interruptions
• Ability to deal tactfully with other organizational departments that experience claim issues or problems

Work Experience

• Six months of experience with claims processing, medical billing, administrative, customer service, call center, or physician's office or other medical office services experience required
• Experience operating a 10-key calculator and computers required
• Working knowledge of ICD-10, CPT, and HCPCs, preferred
• Knowledge of medical terminology desired

Education and Training

High school graduate or equivalent.