Medical Billing Claims Processor

Job Summary

A company is looking for a Patient Support Medical Claims Processing Representative.

Key Responsibilities:

• Receive and vet medical claims from healthcare providers or patients against program-specific business rules
• Ensure adequate supporting documentation is provided and interpret Explanation of Benefits (EOB) or CMS1500
• Provide support for customer requests via various communication methods and suggest operational improvements to management

Required Qualifications:

• High School Diploma or equivalent
• Experience in claim processing is required
• Medical Billing Certification is required
• Coding Certification is required
• HIPAA certification is required