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Claims Examiner image - Rise Careers
Job details

Claims Examiner - job 1 of 4

Job Summary

A company is looking for a Claims Examiner (remote).

Key Responsibilities
  • Review and process claim submissions for appropriateness and completeness according to guidelines
  • Adjudicate claims, determining appropriate payments or denials based on coverage guidelines
  • Maintain internal customer relations and ensure accurate claim information is updated as necessary
Required Qualifications
  • High School diploma or GED required
  • Minimum of two to three years of Medicaid or Commercial claims payer processing experience
  • Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS, ASA, and UB92 Codes
  • Experience in navigating multiple systems using dual monitors
  • Proficient in Microsoft Office - Excel, Word, and Outlook

Average salary estimate

$60000 / YEARLY (est.)
min
max
$50000K
$70000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

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MATCH
VIEW MATCH
FUNDING
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
No info
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
May 29, 2025

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