Medical Claims Processing Representative

Job Summary

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

Key Responsibilities:

• Receive and vet medical claims from healthcare providers and patients against program-specific business rules
• Ensure adequate supporting documentation is provided and interpret EOB/CMS1500
• Provide support for customer requests via various communication methods

Required Qualifications, Training, and Education:

• High School Diploma or equivalent
• Experience in claim processing required
• Medical Billing Certification required
• Coding Certification required
• HIPAA certified