Healthcare Claims Examiner (24846)

Description DELL PEROT SYSTEMS is a worldwide provider of information technology services and business solutions to a broad range of clients. We are currently looking for 20+ Claims Examiners to join our team in Davenport, Iowa.

Job Responsibilities:
The Claims Examiner provides operational support for activities associated with the processing and adjudication of claims to include: 1) Data entry of claims ensuring accurate and timely payment to meet or exceed customer service level agreements 2) Properly adjudicate claims based on knowledge of covered benefits, insurance and provider contracts 3) Identify and resolve issues surrounding pended claims according to established procedures.

Required Skills:

Experience with medical health insurance claims within one of the following work environments 1) insurance company 2) managed care company 3) insurance call center 4) TPA 5) medical billing office 6) medical provider office

Knowledge of CPT, HCPC and ICD-9 Codes

Knowledge of medical terminology

Minimum Educational Requirements:

High School Diploma

Dell Perot Systems is a unit of Dell Services, a new business organization formed by the acquisition of Perot Systems by Dell. Dell Services will develop and deliver a best-in-class suite of end-to-end IT services and business solutions that reduce IT complexity and lower costs for customers. The acquisition extends Dell Services into hosting, consulting, applications and business-process outsourcing, and expands Dell’s existing managed and modular services. Dell Services’ customers span global corporations, government agencies, healthcare and educational institutions, and small and medium enterprises.

Dell Services will be one of the world’s largest technology services organizations with more than 41,000 experienced and skilled technology and business services professionals and revenue of approximately $8 billion from enhanced services. Dell Services’ values are centered on acting with integrity at all times, exhibiting a passion for serving our customers and displaying a strong work ethic while working effectively as a team. Our employees are committed to winning and to our company’s success.

Dell Services is committed to Equal Employment Opportunity. It is the policy of Dell Services to encourage and support equal employment opportunity for all associates and applicants for employment without regard to sex, race, color, ancestry, religious creed, national origin, pregnancy, physical disability, mental disability, medical condition, age, marital status, political affiliation, sexual orientation, disabled veteran or Vietnam era veteran status.

Requirements See Above