Claims Processor

A company is looking for a Claims Processor responsible for submitting claims in accordance with payer regulations and applicable guidelines. Key Responsibilities Transmits and retrieves electronic patient claims/files to and from the claims clearinghouse Reviews claims for necessary billing requirements and processes paper claims accurately and timely Resolves claim edits and researches unusual or complex issues as assigned Required Qualifications Knowledge of medical insurance, CPT and ICD codes Understanding of clinic operations related to patient registration and cash collections Ability to maintain confidentiality of medical records and sensitive information Ability to demonstrate attention to detail and critical thinking skills High School Diploma or GED preferred; graduation from a post-high school program in medical billing is a plus

Mar 27, 2025 - 07:05

A company is looking for a Claims Processor responsible for submitting claims in accordance with payer regulations and applicable guidelines. Key Responsibilities Transmits and retrieves electronic patient claims/files to and from the claims clearinghouse Reviews claims for necessary billing requirements and processes paper claims accurately and timely Resolves claim edits and researches unusual or complex issues as assigned Required Qualifications Knowledge of medical insurance, CPT and ICD codes Understanding of clinic operations related to patient registration and cash collections Ability to maintain confidentiality of medical records and sensitive information Ability to demonstrate attention to detail and critical thinking skills High School Diploma or GED preferred; graduation from a post-high school program in medical billing is a plus