Remote Claims Analyst

Job Summary

A company is looking for a Remote Claims Analyst.

Key Responsibilities

• Adjudicate medical healthcare claims requiring high-level review
• Maintain daily production requirements and quality scores
• Complete weekly pre-adjudication audit reports for payment accuracy

Required Qualifications and Education

• 1-3 years of claims processing experience, preferably from both payer and provider sides
• Knowledge of CPT and ICD coding
• Intermediate to advanced understanding of Microsoft Office products
• Thorough understanding of claims processing compliance requirements
• Ability to work independently and prioritize tasks effectively