Medical Claims Processor

Job Summary

A company is looking for a Medical Claims Processor for a remote position in Plano, TX.

Key Responsibilities

• Process and adjudicate professional claim forms and ensure compliance with policies
• Maintain productivity and quality standards while resolving claims and inquiries
• Research and analyze claims to determine accurate payment criteria and respond to issues

Required Qualifications

• 1+ year of hands-on experience in Healthcare Claims Processing
• University degree or equivalent with studies in English and basic Math
• Experience with Windows applications and navigating multiple systems
• 6+ months of data entry experience with a focus on quality and accuracy
• Ability to work independently and manage workload to meet deadlines