Medical Claims Processor

Job Summary

A company is looking for a Medical Claims Processor - Remote.

Key Responsibilities

• Review and compare data in the claim processing system with corresponding claim information
• Evaluate medical records to determine the appropriateness of services rendered
• Ensure timely handling of tasks to meet internal and external service level agreements (SLAs)

Required Qualifications

• High School Diploma or equivalent required
• Minimum of 1 year of medical claims processing experience required
• Facets experience is highly preferred
• Knowledge of medical coding, billing, and terminology such as CPT, HCPCS, and ICD-9
• Experience with Medicare billing and claims analysis