Medical Claims Examiner
Location: Lombard
Posted on: June 23, 2025
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Job Description:
Temporary to Hire F/T Medical Claims Examiners Needed in
Lombard, IL Our client a busy and growing Union Health & Welfare
Fund located in Lombard; Illinois is looking to hire experienced
full-time Medical Claims Examiners. 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: , Buffalo Grove , Medical Claims Examiner, Administration, Clerical , Lombard, Illinois
