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 or patients against 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
• Medical Billing Certification
• Coding Certification
• HIPAA certified