Healthcare Claims Processor

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