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 position.

Key Responsibilities

• Review and adjudicate complex medical claims using automated systems
• Conduct regular audits and generate weekly Claims Resolution reports
• Schedule meetings with provider groups to address claim resolution issues

Required Qualifications

• High school education with at least 2 years of experience in claims or a related field
• Knowledge of FACETS v. G6, Microsoft Excel, Adobe PDF, ICD-10, and Medicaid
• Possession of a Laptop/PC
• Ability to disclose any disqualifying events related to Federal health care programs