MedicalClaimsAssociate

TheClaims Business Associate will perform all the duties necessary toensure group members and providers receive proper payment of policybenefits in a timely manner while providing excellent customerservice.

Receive pendingclaims for evaluation andprocessing.

Enter and / orreview claims data in the claims administration system andadjudicateclaims.

Accurately codeexplanation ofbenefits.

Maintain claimsand task procedural financial and timingstandards.

Adjudicatependingclaims.

Review claimsand research asneeded.

Process claimsreceived.

Experience : 3 years claims processing experience. A working knowledge of ICD10CPT codes and HIPAA guidelines; knowledge of medicalterminology.

Thisis a fully remoteposition.

Requirements

GreatCommunication Skills

8 weektraining nogaps

Great Communication Skills 8 week training - no gaps

Last updated : 2024-05-07