Claims Processor

Job Summary

A company is looking for a Claims Processor I-8.

Key Responsibilities

• Determine covered medical insurance benefits and document medical claims processes
• Resolve medical claims by approving or denying, calculating benefits due, and initiating payments or denials
• Maintain account accuracy and follow up on outstanding denied claims according to payer rules

Required Qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Familiarity with electronic billing systems
• Ability to maintain quality and productivity standards
• Knowledge of federal insurance regulations and company policies