A company is looking for a Healthcare Claims Processor to support a leading health insurance customer.
Key Responsibilities
Review and adjudicate complex medical claims
Conduct regular audits and schedule meetings with provider groups for claim resolution
Generate weekly Claims Resolution reports for management
Required Qualifications
High school education plus at least 2 years of experience in claims or a related field
Knowledge of FACETS v. G6, Microsoft Excel, Adobe PDF, ICD-10, and Medicaid
Must have a Laptop / PC
Ability to disclose any debarment or exclusion from Federal health care programs
Healthcare Claims Processor • Irving, Texas, United States