Medical Claims Processor

Job Summary

A company is looking for a Medical Claims Processor.

Key Responsibilities

• Process professional claim forms and review policies and benefits
• Ensure compliance with HIPAA regulations and company guidelines
• Adjudicate claims according to defined workflows and maintain quality targets

Required Qualifications

• 3 years of hands-on experience in Healthcare Claims Processing
• 2+ years of experience using Windows applications and navigating multiple systems
• High school diploma or GED
• Experience working in a productivity and quality-focused environment
• Familiarity with MS Office products, including Outlook, Word, and Excel