Improving the Population's Health
Healthcare Claims Processor
Location
United States
Posted
40 days ago
Salary
$22 - $25 / hour
Job Description
Job Requirements
- High school diploma or equivalent.
- Minimum of 5 years’ experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims.
- Familiarity with ICD-10, CPT, and HCPCS coding systems.
- Understanding of medical terminology, healthcare services, and insurance procedures (worker’s compensation experience is a plus).
- Strong attention to detail and accuracy.
- Ability to interpret and apply insurance program policies and government regulations effectively.
- Excellent written and verbal communication skills.
- Proficient in Microsoft Office Suite (Word, Excel, Outlook).
- Capacity to work independently as well as collaboratively within a team.
- Commitment to ongoing education and training in industry standards and technology advancements.
- Experience with claim denial resolution and the appeals process.
- Ability to efficiently manage a high volume of claims.
- Customer service-oriented with strong problem-solving capabilities.
- Must be flexible and have the ability to adjust to the needs of the client and changes in the program.
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