Healthcare Claims Processing Associate

Job Summary

A company is looking for a HC & Insurance Operations Processing Sr Rep.

Key Responsibilities

• Process professional and institutional claims while ensuring compliance with HIPAA and confidentiality regulations
• Review policies and benefits, prioritize work, and adjudicate claims according to defined workflows and guidelines
• Maintain quality scores above 98.5% PA and 99.75% FA, and respond to claims received via email in a timely manner

Required Qualifications

• 3 years of hands-on experience in Healthcare Claims Processing
• High school diploma or GED
• Experience working in a productivity and quality-focused environment
• Familiarity with MS Office products, including Outlook, MS Word, and MS Excel
• Ability to navigate multiple systems and screens efficiently