A company is looking for a Medical Claims Processor - Remote.
Key Responsibilities
Review data in the claim processing system and compare it with corresponding claim information
Assess medical records to determine the appropriateness of services rendered
Handle designated tasks within appropriate timeframes to meet internal and external SLAs
Required Qualifications
At least a High School Diploma or equivalent
A minimum of 1 year of medical claims processing experience
Facets experience is highly preferred
Knowledge of medical coding, billing, and terminology (CPT, HCPCS, ICD-9)
Experience with institutional (CMS-1450) and / or professional (CMS 1500) claims
Processor • Amarillo, Texas, United States