Claims and Benefits Representative

Job Summary

A company is looking for a Representative I - Claims & Benefits (Remote).

Key Responsibilities

• Investigate and analyze Medicare Secondary Payer and Coordination of Benefits claims to ensure accurate processing
• Maintain and update enrollment and file information for correct coordination with Medicare and other insurance carriers
• Research claims history to identify previously paid claims and adjust claims as necessary based on findings

Required Qualifications

• High School Diploma or GED
• 3 years of experience in claims, enrollment and billing, customer service, or Other Party Liability
• Healthcare industry experience preferred
• Ability to meet established deadlines and manage multiple customer service demands
• Must be eligible to work in the U.S. without sponsorship