Claims Processor

Job Summary

A company is looking for a Claims Processor (with Facets) - Healthcare Remote.

Key Responsibilities

• Review data in the claim processing system against corresponding UB or HCFA information
• Evaluate medical records to ensure service rendered was medically appropriate
• Handle designated tasks within appropriate timeframes to meet internal and external SLAs

Required Qualifications and Education

• Minimum of 2 years of claim processing experience
• Knowledge of physician practice and hospital coding, and medical terminology (CPT, HCPCS, ICD-10)
• 1 year of Facets experience
• High School degree or GED or equivalent experience
• Experience with Medicare/Medicaid payment and coverage guidelines