Insurance Claims Processor

Job Summary

A company is looking for an Insurance Claims Processor to analyze and process insurance claims while ensuring compliance with organizational policies.

Key Responsibilities

• Determine accuracy and completeness of claim information and verify claims data
• Resolve claim edits, review history records, and determine benefit eligibility for services
• Meet production and quality standards while maintaining work queues according to department guidelines

Required Qualifications

• High School diploma or GED
• One year of experience with medical or institutional claim data entry or customer service
• Associate Degree in a related healthcare field is preferred
• Two or more years of experience in medical or institutional claims processing and customer service is preferred