Healthcare Claims Processing Associate

Job Summary

To support a growing team, the remote Healthcare Claims Processing Associate will process professional claim forms, review policies and benefits, and ensure compliance with HIPAA and client guidelines while maintaining high-quality standards.

Key responsibilities:

• Process and adjudicate professional claims according to defined workflows and SLAs
• Research and resolve claims issues while ensuring timely responses to inquiries
• Maintain quality scores above 98.5% for PA and 99.75% for FA, meeting client productivity 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
• Proficiency in MS Office products, including Outlook, Word, and Excel