Job Description

Medical Claims Associate

The Claims Business Associate will perform all the duties necessary to ensure group members and providers receive proper payment of policy benefits in a timely manner, while providing excellent customer service.

• Duties include but are not limited to :
• Receive pending claims for evaluation and processing.
• Enter and / or review claims data in the claims administration system and adjudicate claims.
• Accurately code explanation of benefits.
• Maintain claims and task procedural, financial, and timing standards.
• Adjudicate pending claims.
• Review claims and research as needed.
• Process claims received.

Experience : 3 years claims processing experience. A working knowledge of ICD10, CPT codes and HIPAA guidelines; knowledge of medical terminology.

This is a fully remote position.

Requirements

Great Communication Skills

8 week training - no gaps

Requirements

Last updated : 2024-05-03