Claims Processor

Job Summary

A company is looking for a Claims Processor - Remote.

Key Responsibilities

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

Required Qualifications

• At least a High School Diploma or equivalent
• A minimum of 1 year of claims processing experience
• Facets experience is highly preferred
• Knowledge of medical coding, billing, and terminology
• Experience with Medicare billing and claims analysis