Medical Claims Examiner 2

Job description

The Medical Claims Examiner 2 is responsible for the validation of services rendered to Vitas patients via billed data submitted on claims and invoices. Applies contracted negotiated financial arrangements for each service billed for contracted providers and vendors and apply general claims/invoice processing procedures and guidelines for each service billed. Validates patient benefits, limitations and exclusions in relation to the hospice plan of care and services billed. Must be able to work Monday through Friday 7:30am- 4:30pm in our Corporate Miramar, Florida office. Hybrid schedule QUALIFICATIONS: - Qualified candidates must have a 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. EDUCATION: - Two year college degree preferred. SPECIAL INSTRUCTIONS TO CANDIDATES: VITAS® Healthcare is the nation’s leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, you’ll find fulfillment working for a people-focused organization dedicated to...