Hours:9am-5:30pm Monday-Friday

QPS Employment Group is hiring a Medical Claims Examiner at a great company in the Springfield area. This is an associate to hire opportunity.

Medical Claims Examiner Responsibilities include but are not limited to: - Ensure the members insurance policy benefits are processed accurately and timely - Review each claim to determine the appropriate course of action based on the nature of a members illness or injury

Medical Claims Examiner Requirements: - High school diploma or equivalent - 2+ years of related experience preferred - Understand multiple medical insurance products and multiple levels of benefits within each product to make accurate claim processing decisions - Exceptional organizational and analytical skills with ability to manage time and prioritize workload effectively - Strong keyboarding skills with above average accuracy - 10-key by touch skills with above average accuracy - Knowledge of medical terminology and billing practices helpful - Knowledge of ICD-10, CPT and HCPC code sets helpful - Above basic computer skills with Windows PC systems and applications - Above basic Microsoft Office skills (Outlook, Word, Excel) - Strong verbal and written communication skills - Work independently in a solitary manner for long periods of time - Extended periods of sitting at a computer and repetitive use of hands/fingers - Office environment