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Job details

Medical Claims Coordinator

Job Summary

A company is looking for a Medical Claims Coordinator to support healthcare operations by auditing and adjudicating medical stop loss claims.

Key Responsibilities
  • Review and audit medical stop loss claims for compliance with plan documents and contracts
  • Collaborate with finance to facilitate approved claim payments and communicate decisions with third-party administrators
  • Monitor claim trends, generate reports, and perform self-audits to improve accuracy and efficiency
Qualifications
  • High School Diploma or GED required; Bachelor's degree in Medical Billing and Coding or related field preferred
  • Minimum 5 years of experience in medical claims administration
  • Familiarity with medical terminology and third-party administration processes
  • Proficiency in Microsoft Office and relevant computer applications
  • Strong organizational and analytical skills

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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TEAM SIZE
No info
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
May 29, 2025

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