Claims Processor

Job Summary

A company is looking for a Claims Processor I to manage insurance claim production and processing.

Key Responsibilities

• Ensure accurate and timely processing of insurance claims, including resolving EDI claim edits
• Maintain accounts by updating registrations, processing adjustments, and following up on denied claims
• Keep management informed of issues and trends to enhance operations and escalate slow-pay issues as necessary

Required Qualifications and Education

• High school diploma required
• One year of billing and insurance follow-up experience in a hospital or physician office preferred
• General working knowledge of insurance terminology and billing rules
• Able to prioritize work and exercise independent judgment in handling patient accounts
• Knowledge of Epic preferred