Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
We have a GREAT opportunity for a reliable, team player to become part of our team to assist patients in our primary care clinic. You will be rooming patients, obtaining vitals, and assisting the provider(s) with minor procedures. Additionally, you will be helping providers to order labs/x-rays, assist in management of prescription refill requests and prior authorizations, schedule and track patients, make referrals, triage patient phone calls and help with any various tasks needed for patient care. Hours will generally be 8 am-4:30 pm Monday-Friday.
Desired skills:
Positive Team Player
Computer Savvy- EMR experience, spreadsheets, etc.
Working Knowledge of Medical Terminology
Appointment Scheduling
Understanding of Medical Insurance (Incorporated in scheduling and to prepare billing for visits)
Maintain Accurate and Organized Records (Patient consent forms, billing, and daily logs)
Confident in Communication Skills
Highly Motivated
Three or more years of experience in a healthcare facility or private physician office is a plus (but not required)
Dependable attendance
Positive and professional attitude
Excellent patient care skills and ability to multitask.
Job Type: Full-time
Pay: $12.00 - $14.00 per hour
Benefits:
Medical specialties:
Schedule:
Work setting:
Work Location: In person
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0 Claims Examiner, Sr. jobs found in Knoxville, TN area