Claims Processor II

Job Summary

Resolving denied and unpaid insurance claims, the full-time Claims Processor II will ensure accurate and timely processing of claims while maintaining quality standards in a remote work environment.

Key responsibilities

• Process and resolve claim edits and paper claims, ensuring compliance with payer rules and departmental policies
• Utilize electronic billing systems to follow up on outstanding denied claims and correct any missing or invalid information
• Communicate with third-party payers and patients to gather information necessary for resolving claims and escalate issues as needed

Required qualifications

• Associates Degree preferred or equivalent experience
• Two years of billing and insurance follow-up experience, or four years in a hospital or physician office setting
• Thorough knowledge of insurance terminology, CPT coding, and billing rules
• Experience with Epic software preferred
• Ability to maintain productivity and quality standards as set by management