Healthcare Claims Processing Associate
Job Summary
Working remotely, the full-time hourly 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 healthcare claims in accordance with client-defined workflows and guidelines
- Research and resolve claims issues promptly, ensuring timely responses to claims received via email
- Maintain quality scores above 98.5% for processing accuracy and meet productivity targets to avoid penalties
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
- Proficient in MS Office products, including Outlook, Word, and Excel
Complete Job Description
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