Claims Processor

Job Summary

A company is looking for a Claims Processor responsible for submitting claims and ensuring compliance with payer regulations.

Key Responsibilities

• Transmits and retrieves electronic patient claims/files in accordance with established procedures
• Reviews claims for necessary billing requirements and processes paper claims accurately and timely
• Resolves claim edits and researches unusual or complex issues as assigned

Required Qualifications, Training, and Education

• Knowledge of healthcare concepts, medical insurance, CPT, and ICD codes
• Understanding of clinic operations related to patient registration and cash collections
• Ability to enter data with timeliness and accuracy
• High school diploma or GED preferred; graduation from a post-high school program in medical billing is preferred
• Ability to maintain confidentiality and demonstrate attention to detail