Healthcare Claims Processing Associate

Job Summary

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

Key responsibilities

• Process and adjudicate professional claim forms in accordance with client-defined workflows and guidelines
• Research, review, and resolve claims efficiently while meeting productivity and quality targets
• Maintain compliance with company regulations and complete necessary training within established timelines

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