Claims Processor

Job Summary

Detail-oriented and organized, the remote Claims Processor will accurately review, validate, and enter medical claims information while ensuring compliance with processing guidelines and maintaining productivity standards.

Key responsibilities

• Identify and enter procedure and diagnosis codes, ensuring claim data completeness
• Review claim documentation for alignment with policies and escalate discrepancies as needed
• Maintain accurate records and documentation within claims systems while adhering to established workflows

Required qualifications

• 3+ years of experience in claims processing, medical billing, or healthcare administration
• Experience in high-production environments with monitored performance metrics
• Strong analytical skills to identify discrepancies and apply policy accurately
• Proficiency in navigating multiple systems and tools simultaneously
• Ability to work independently in a remote environment with consistent output