Medical Claims Processor

A company is looking for a Healthcare & Insurance Operations Processing Senior Representative.

Key Responsibilities

Process professional claim forms and review policies and benefits

Ensure compliance with HIPAA regulations and maintain quality scores above defined thresholds

Research, review, and adjudicate claims while meeting productivity and quality targets

Required Qualifications

1+ years of hands-on experience in healthcare claims processing

2+ years of experience using Windows applications and navigating multiple computer systems

Working knowledge of MS Office products (Outlook, Word, Excel)

Experience in a productivity and quality-focused work environment

Familiarity with claims processing software such as Amisys or Xcelys is preferred