Medical Claims Adjuster Healthcare

W2 consultant - Seeking candidates that are local to Wash DC, Maryland, Va or WVA. Candidates must be eligible to convert to perm employment after 6 month contract.

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Vega Consulting Solutions is hiring a Healthcare Claims Adjuster for a Contract to hire job opportunity with our direct client.

Candidate will be responsible for Investigating and performing adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.

Job requirement:

• Must have 3 years years of claims experience and complete understanding of all systems, policies and procedures.
• Must have Healthcare Medical Claims processing experience.
• Must have Healthcare Medical Claims Adjustment experience.
• Current Medical Terminology work experience
• Provider Refund experience required
• Must have worked with Subrogation, Workers Comp. Disbursements

Pls select "Apply Now" if you have the Healthcare Claims adjuster experience and a Vega Staffing Specialist will reach out to you.