Claims Processor

A company is looking for a Claims Processor I-7.

Key Responsibilities

Determine covered medical insurance benefits and document medical claims processes

Resolve medical claims by approving or denying, calculating benefits due, and initiating payment or denial

Maintain compliance with company policies and federal insurance regulations

Required Qualifications

High School Degree or Equivalent

0-6 months of relevant work experience

Ability to use electronic billing systems effectively

Familiarity with payer rules and regulations

Ability to maintain quality and productivity standards as set by management