Job Summary
A company is looking for a Health Insurance Claims Processor to support a leading health insurance customer.
Key Responsibilities
- Perform claims adjudication for complex medical claims
- Conduct regular auditing and generate weekly Claims Resolution reports
- Schedule meetings with provider groups to address claim resolution issues
Required Qualifications
- High school education plus at least 2 years of experience in claims or a related field
- Knowledge of Microsoft Excel, Adobe PDF, ICD-10, and Medicaid
- Must have a laptop or PC
- Experience processing 200+ claims daily
- Ability to disclose any debarment or exclusions affecting eligibility for Federal health care programs
Comments