Medical Claims Processing Representative

Job Summary

A company is looking for a Patient Support Medical/Biller Claims Processing Representative (Home-Based).

Key Responsibilities:

• Receive and vet medical claims from HCPs or patients based on program-specific business rules
• Provide support for customer requests through various communication channels
• Identify operational challenges and suggest recommendations to management

Required Qualifications:

• High School Diploma or equivalent
• Experience in claim processing required
• Medical Billing Certification required
• Coding Certification required
• Ability to interpret Explanation of Benefits (EOB)