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Claims Examiner
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$60,000 a year
Full-time
- Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical Policies and Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures.
- Research and document pertinent information on claims requiring adjudication.
- Apply medical policy, contractual provisions, and operational procedures to ensure accurate adjudication and/or adjustment
- Reprice Workers’ Comp and No-Fault claims while adhering to the specified turnaround times
- Knowledge of contracts, medical terminology, and claims processing and procedures
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