Medical Claims Examiners

Are you an experienced Medical Claims Adjusters in the Annapolis, MD area seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with which to further your longterm goals? Are you seeking REAL advancement opportunities in-house with a Fortune 500 company? If you answered “yes" to any of these questions – then this opportunity may be for you!

**Preference will go to those who have current or previous experience from CareFirst, BlueCross, or other major insurance payor companies. We are looking for employees that understand PPO plans and have worked on the commercial line of business. Knowledge of processing physicians claims, Hospital claims, and ICD-10**

Daily Responsibilities:

Responsible for the accurate and timely adjudication of all claims in accordance with applicable contracts, state and federal regulations, health plan requirements, policies and procedures, and generally accepted business practices. Reviews providers' disputes and appeals for professional and hospital claims to determine resolution according to policies and procedures. Adheres to state and federal policies and procedures when adjudicating claims, including but not limited to, interest calculation and resolution timeliness.

Shift: Monday-Friday / 8:00 am – 5:00 pm

Pay: $18-22/hr (solely based on experience; Higher pay may be considered)

Advantages of this Opportunity:

• Competitive hourly pay above regional average!

• Longterm stability and individual professional growth potential from a national Healthcare company that continues to grow!

• Daytime, weekday schedule.

• You will have the opportunity to add great experience to your resume, while getting the chance to network with several future colleagues in a highly-competitive insurance claims field.