Medical Claims Processor

Job Summary

A company is looking for a Medical Claims Processor I.

Key Responsibilities

• Enter claims data into the system while interpreting coding and understanding medical terminology
• Review, analyze, and resolve moderately complex claims using available resources
• Adjudicate claims to meet quality and production standards, ensuring compliance with regulations

Required Qualifications, Training, and Education

• High School diploma or equivalent
• 6-12 months of data entry or medical office experience preferred
• 10-key proficiency of 135 spm
• Typing speed of a minimum of 35 wpm
• Knowledge of medical terminology, CPT codes, and ICD-9/10 codes preferred