Claims Processor

Job Summary

Researching and verifying complex claims information, the full-time Claims Processor I will ensure accurate and timely processing of claims while working remotely from Louisiana.

Key responsibilities

• Review and correct scanned claims documents, ensuring completeness and accuracy prior to final entry
• Research procedural questions and identify training issues to enhance claims adjudication quality
• Maintain records of production metrics and assist with customer service by processing claims according to departmental guidelines

Required qualifications

• High School Diploma or equivalent required; Associate's degree preferred
• 1 year of related clerical or data entry experience required, or relevant medical office training
• Medical coding training is preferred
• Ability to enter data at 4000 keystrokes per hour
• Familiarity with medical and health insurance terminology preferred