Claims Processor

Job Summary

A company is looking for a Claims Processor to manage medical claims and patient accounting tasks.

Key Responsibilities

• Research and evaluate accounts for proper adjudication
• Perform electronic claims editing and submit claims validation for payment processing
• Document claims processing activity into systems and maintain knowledge of applicable VA regulations

Required Qualifications

• High School Diploma or GED required
• 1-2 years of experience in medical claims, patient accounting, and understanding of insurance contracts or EOBs preferred
• Demonstrated negotiation skills and general office skills
• Working knowledge of software such as Excel and Word
• Data entry and 10 key experience necessary