Experienced Claims Processor

Job Summary

A company is looking for an Experienced Claims Processor to join their rapidly growing team.

Key Responsibilities:

• Review and adjudicate medical claims, ensuring accurate coding and data entry
• Verify patient eligibility and provider credentialing to facilitate accurate claims processing
• Communicate with internal resources to resolve claim discrepancies and maintain detailed records

Required Qualifications:

• 1-2 years of experience in healthcare claims processing or adjudication
• Understanding of health claims processing and adjudication
• Familiarity with medical terminology and ICD-9 & ICD-10
• Basic MS Office computer skills
• Ability to work independently or within a team