Telecommute Medical Claims Representative II

Job Summary

A health insurance company is filling a position for a Telecommute Claims Representative II.

Core Responsibilities Include:

• Responding to requests for first level appeals
• Obtaining and reviewing system and hard copy documentation and medical notes
• Determining appropriate financial liability for decision

Applicants must meet the following qualifications:

• Coursework in medical terminology or understanding of general medical terminology
• High School diploma or equivalent
• 2 or more years recent health insurance experience
• 2 or more years of experience working for the GHA contract with WPS
• 2 or more years of experience in customer service or claims processing with WPS