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 company regulations while maintaining high-quality standards.

Key responsibilities

• Process professional claim forms and review policies and benefits while adhering to HIPAA regulations
• Research, review, and adjudicate claims independently, prioritizing work to meet turnaround times and quality targets
• Calculate claims payable amounts accurately and respond to claims received via email in a timely manner

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
• Experience working in a productivity and quality-focused environment
• Proficiency in MS Office products, including Outlook, Word, and Excel