Healthcare Claims Processor

Job Summary

A company is looking for a Healthcare Claims Processor to support a leading health insurance customer in a remote contract-to-hire position.

Key Responsibilities

• Perform claims adjudication for complex medical claims
• Conduct regular auditing and generate weekly Claims Resolution reports
• Schedule meetings with provider groups to address claim resolution issues

Required Qualifications

• High school education plus at least 2 years of experience in claims or a related field
• Knowledge of Microsoft Excel, Adobe PDF, ICD-10, and Medicaid
• Full vaccination is required
• Possession of a laptop or PC is necessary
• Must disclose any debarment or exclusion from Federal health care programs