Healthcare Claims Processing Associate

Job Summary

Working remotely, the full-time Claims Processing Associate will manage the processing of professional claim forms, ensuring compliance with regulations and maintaining high-quality standards while independently adjudicating claims.

Key responsibilities

• Process professional claim forms and review policies and benefits while adhering to HIPAA regulations
• Research, review, and act on claims, ensuring timely adjudication in accordance with client-defined workflows and turnaround times
• Maintain quality scores above 98.5% for processing accuracy and respond promptly to claims received via email

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
• Proficiency in MS Office products, including Outlook, Word, and Excel