Medical Claims Examiner 2

About the role

The Medical Claims Examiner 2 validates services rendered to Vitas patients via billed data submitted on claims and invoices. This includes applying contracted negotiated financial arrangements for each service billed, adhering to general claims/invoice processing procedures and guidelines, and validating patient benefits, limitations, and exclusions in relation to the hospice plan of care and services billed.

Responsibilities

• Applies contracted negotiated financial arrangements for each service billed for contracted providers and vendors
• Validates patient benefits, limitations and exclusions in relation to the hospice plan of care and services billed
• Validates services rendered to Vitas patients via billed data submitted on claims and invoices

Requirements

• Minimum of two years experience as a claim processor in the health insurance environment preferred
• Working knowledge of medical terminology, claims processing procedures, and accounts payable process

Qualifications

• Two year college degree preferred

Skills

• Medical Terminology
• Claims Processing Procedures
• Accounts Payable Process

Benefits

N/A

Pay

N/A

Schedule

Monday through Friday 7:30am- 4:30pm in our Corporate Miramar, Florida office. Hybrid schedule