Medical Claims Administrator

Job Summary

To support a growing healthcare team, the full-time Medical Claims Administrator will manage the receipt, tracking, and documentation of stop loss claims submissions while working remotely.

Key responsibilities

• Coordinate stop loss claims management by compiling submissions and ensuring all necessary information is included
• Process claims by reviewing for appropriateness and facilitating funding with the Finance department
• Perform quality assurance by recognizing trends, documenting findings, and collaborating with cross-departmental teams to improve procedures

Required qualifications

• High School Diploma or GED required
• Associate's degree in Medical Billing and Coding or a related field
• 2+ years of experience in administrative and customer service roles
• Understanding of Medical Third-Party Administration functions, claims, and medical terminology strongly preferred
• Proficiency in Microsoft Office products and demonstrated organizational skills