Medical Claims Processor

Job Summary

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

Key Responsibilities

• Review data in the claim processing system and compare it with corresponding claim information
• Assess medical records to determine the appropriateness of services rendered
• Handle designated tasks within appropriate timeframes to meet SLAs and assist with special projects as needed

Required Qualifications

• High School Diploma or equivalent
• Minimum of 1 year of medical claims processing experience
• Facets experience is highly preferred
• Knowledge of medical coding, billing, and terminology (CPT, HCPCS, ICD-9)
• Experience with UB/institutional and/or professional claims