Medicaid and Medicare Claims Examiner II

Overview HealthEdge ® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge .com. HealthEdge is looking for Claims Examiner II, reporting to the Claims Team Leader. The Claims Examiner II is responsible for the adjudication of healthcare claims utilizing specific policies and procedures. This role is responsible for reviewing data within the claims processing system, to determine if services rendered were appropriate and benefit coverage criteria were met. The Claims Examiner II is accountable for reviewing the adjudication system edits to determine whether to pay the claim and/or line item(s). As a Claims Examiner II at HealthEdge , this is your opportunity to Be responsible for processing assigned claims based on client-specified guidelines or as directed by the team leader Be responsible for meeting productivity targets, financial and procedural accuracy standards as established by management Mentor junior members of the team Collaborate with other team members on special projects as assigned by the team leads; special projects can include