Medical Claims Examiner

Company: Managed Care Staffers
Location: Lombard
Posted on: May 8, 2025

Job Description:

Temporary to Hire F/T Medical Claims Examiners Needed in Lombard, IL

Ensure all your application information is up to date and in order before applying for this opportunity.
Our client a busy and growing Union Health & Welfare Fund located in Lombard; Illinois is looking to hire experienced full-time Medical Claims Examiners.



We understand that you cannot submit any comments or text with your resume. If you apply through Monster, please send a separate email to emurawski[at]managedcarestaffers.com with the answers to the following questions in order to be considered for this position:

How many years of insurance medical claims processing experience do you have?
How many years of ISSI Software experience do you have?
What is your desired minimum hourly compensation?
Is Lombard, IL a good location for you?
Are you immediately available for employment?
You will be responsible for processing 100+ medical claims per day for payment utilizing the ISSI Software with a 98% accuracy rate.

This is an Onsite Position located in Lombard, Illinois.



Monday-Friday F/T (8:00am to 5:00pm) Onsite in Lombard, Illinois.



Job Responsibilities

You will be required to process 100+ PPO, HMO, Inpatient, and Outpatient Medical Claims per day with a 98% accuracy rate and to ensure that all of the necessary claim information is present.
Promptly review and resolve medical claim denials.
Review provider reconsiderations and reprocess the claim or generate letter(s) in response to the request.
Process check-run cycles and check-run audits when assigned.
Identify and report system issues, test and troubleshoot system configuration, completing reports, and run other system tasks or reports as assigned.
Correspond to providers, members, and external vendors via mail, email, or phone



Job Requirements

A High School Diploma is required.

At least 2 years of recent medical claims processing experience.
Knowledge and understanding of the healthcare insurance industry, including basic medical claim processing, subrogation, ICD-10 Diagnosis Codes, CPT Procedures Coding, HCPC Codes, HCFA 1500, and UB-02 claim forms.
Strong understanding of plan documents and insurance policies.
ISSI Software experience is a plus.
Intermediate Microsoft Office Proficiency in (Word, Excel, and Outlook) and the ability to type at least 40 WPM.



If you or anyone you know is interested, qualified, and currently available for employment please send an updated resume to us for immediate review and consideration.

Keywords: Managed Care Staffers, Chicago , Medical Claims Examiner, Healthcare , Lombard, Illinois