Claims Processing Representative

VirtualVocations
Far Rockaway, New York, United States
Full-time

A company is looking for a Claims Processing Representative to review and adjudicate complex claims.Key ResponsibilitiesReview and adjudicate complex or specialty claims submitted via paper or electronicallyDetermine whether to return, deny, or pay claims following organizational policies and proceduresProcess claims efficiently while maintaining compliance with regulationsRequired Qualifications1 or more years of experience in Medical Claims Processing, Medical Billing, or CSC claims processingProficiency in Microsoft Office, particularly Word and Excel (basic understanding)Flexibility to work between 6 : 00 a.

m. to 9 : 00 a.m. EST, Monday to Friday, with potential overtimeExperience with Microsoft Outlook is preferredQuality background is preferred

10 days ago
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