Claims Processor

Job Summary

A company is looking for a Medical Claims Processor.

Key Responsibilities

• Review and adjudicate paper/electronic claims, ensuring proper handling according to policies
• Examine and resolve non-adjudicated claims, ensuring timely payments and accurate processing
• Collaborate with multiple departments to provide feedback and resolve processing issues

Required Qualifications

• High School Diploma or GED
• More than three years of experience processing claim documents
• Experience with processing Inter-Plan Teleprocessing System (ITS) Claims
• Preferred: 5+ years of claims processing, billing, or medical terminology experience
• Demonstrated analytical skills and ability to navigate computer applications