Medical Claims Processor

Job Summary

Working full-time from home, the Medical Claims Processor will be responsible for the accurate and timely entry, review, and resolution of simple to moderately complex medical claims in accordance with company policies and guidelines.

Key responsibilities

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

Required qualifications

• High School diploma or equivalent
• 6-12 months of data entry or medical office experience preferred
• 10-key proficiency of 135 strokes per minute
• Knowledge of medical terminology, CPT codes, and ICD-9/10 codes preferred
• Experience with the Facets platform is a plus