Georgia Licensed Medical Claims Processor

A company is looking for an Experienced Healthcare Claims Processor.

Key Responsibilities :

Analyze and process complex medical claims in accordance with program policies

Proactively resolve claim discrepancies and collaborate with other departments

Maintain thorough records of claims processed and engage in audits for compliance

Required Qualifications :

High school diploma or equivalent

Minimum of 5 years' experience in medical claims processing

Familiarity with ICD-10, CPT, and HCPCS coding systems

Understanding of medical terminology and insurance procedures

Experience with claim denial resolution and the appeals process