A company is looking for a Healthcare Claims Processor to support a leading health insurance customer in a remote contract position.
Key Responsibilities
Review and adjudicate complex medical claims using automated systems
Conduct regular audits and generate weekly Claims Resolution reports
Schedule meetings with provider groups to address claim resolution issues
Required Qualifications
High school education with 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
Possession of a Laptop / PC
Ability to disclose any disqualifying events related to Federal health care programs
Healthcare Processor • Lake Worth, Florida, United States