Healthcare Claims Processor

Job Summary

A company is looking for a Health Insurance Claims Processor to support a leading health insurance customer in a remote contract position.

Key Responsibilities

• Review and adjudicate complex medical claims, ensuring compliance with medical policy and procedures
• Perform regular auditing and generate weekly Claims Resolution reports for management
• Schedule meetings with provider groups to address claim resolution issues and handle provider communications

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
• Must have a personal laptop or PC
• Experience processing 200+ claims daily
• Must disclose any debarment or exclusion from Federal health care programs