Healthcare Claims Processing Associate

Job Summary

Working remotely, the full-time Healthcare Claims Processing Associate will manage the processing of professional claim forms, ensure compliance with HIPAA regulations, and prioritize claims adjudication to meet client productivity and quality targets.

Key responsibilities

• Process and review professional claim forms while adhering to client-defined workflows and guidelines
• Research and resolve claims independently, ensuring timely responses to inquiries and compliance with turnaround times
• Maintain quality scores above 98.5% for processing accuracy and 99.75% for financial accuracy

Required qualifications

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