Medical Billing Claims Processor

Job Summary

A company is looking for a Patient Support Medical Claims Processing Representative.

Key Responsibilities:

• Receive medical claims from healthcare providers or patients and vet them against program-specific business rules
• Provide payment assistance solutions and support customer requests via various communication methods
• Work 40 hours per week under moderate supervision, identifying operational challenges and suggesting recommendations

Required Qualifications:

• High School Diploma or equivalent
• Experience in claim processing is required
• Medical Billing Certification is required
• Coding Certification is required
• Ability to interpret Explanation of Benefits (EOB) and HIPAA certification