Claims Processor

Job Summary

Responsible for the accurate and timely processing of claims, the full-time remote Claims Processor will adjudicate claims, resolve edits and suspended claims, and maintain reference materials in accordance with payment policies and contractual agreements.

Key responsibilities

• Adjudicates claims and adjustments as required
• Resolves claims edits and suspended claims
• Maintains and updates required reference materials to adjudicate claims

Required qualifications

• GED or High School diploma
• Experience with ICD-9 codes and Current Procedural Terminology (CPT)
• Ability to quickly use a 10-key machine
• Experience in claims processing