Medical Claims Processor

Job Summary

A company is looking for a Medical Claims Processor II.

Key Responsibilities

• Analyze and process complex medical claims ensuring accuracy and compliance
• Collaborate with internal departments to resolve discrepancies and issues
• Maintain thorough records and analyze trends in claim issues for reporting

Required Qualifications

• High school diploma or equivalent
• Minimum of five years of experience in medical claims processing
• Familiarity with ICD-10, CPT, and HCPCS coding systems
• Understanding of medical terminology and insurance procedures
• Experience with claim denial resolution and the appeals process