Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company.
Requirements
- Minimum of one year of recent experience processing medical claims for a health insurance company or payer
- Familiarity with medical claim forms (CMS-1500 and UB-04)
- Working knowledge of coding systems: ICD-10, HCPCS, and CPT
- Proficient in computer navigation and technology, including Microsoft Windows, Excel (advanced functions), and web-based tools and platforms
- Excellent verbal and written communication skills
- Ability to remain focused and productive in a high-volume, repetitive task environment
Benefits
- Medical, Dental, and Vision coverage
- Life Insurance
- Short-Term and Long-Term Disability options
- Flexible Spending Account (FSA)
- Employee Assistance Program
- 401(k) with employer contribution
- Paid Time Off (PTO)
- Tuition Reimbursement