Senior claims examiner vs health claims examiner

Differences between senior claims examiner and health claims examiner duties and responsibilities

Senior claims examiner example responsibilities.

• Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
• Coordinate vendor referrals for additional investigation and/or litigation management
• Maintain office records of various types of complaints, conciliation, administrative decision, private litigation resolution, gather detailed information.
• Ensure all HIPPA regulations are followed in the creation and release of all confidential records.
• Coordinate vendor referrals for additional investigation and/or litigation management

Health claims examiner example responsibilities.

• Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
• Review and analyze medical claims to finalize payments according to Medicaid benefits.
• Analyze and process Medicare and Medicaid claims (Primary/Secondary).
• Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
• Coordinate vendor referrals for additional investigation and/or litigation management