Job Summary
A company is looking for a Remote Claims Analyst.
Key Responsibilities
- Adjudicate medical healthcare claims requiring high-level review
- Maintain daily production requirements and quality scores
- Complete weekly pre-adjudication audit reports for payment accuracy
Required Qualifications
- 1-3 years of claims processing experience, preferably from payer and provider sides
- Knowledge of CPT and ICD coding
- Intermediate to advanced understanding of Microsoft Office products
- Thorough understanding of claims processing compliance requirements
- Ability to work independently with minimal supervision
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