Healthcare Claims Processing Associate

Job Summary

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

Key Responsibilities

• Process professional claim forms and review policies and benefits
• Ensure compliance with regulations and maintain quality scores above specified thresholds
• Research, review, and adjudicate claims while meeting productivity and turnaround time targets

Required Qualifications

• 3 years of hands-on experience in Healthcare Claims Processing
• 2+ years of experience using Windows applications and navigating multiple computer systems
• High school diploma or GED
• Experience working in a productivity and quality-focused environment
• Familiarity with MS Office products, including Outlook, Word, and Excel