Healthcare Claims Processing Associate

A company is looking for a HC & Insurance Operations Processing Sr Rep.

Key Responsibilities

Process professional and institutional claims while reviewing policies and benefits

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

Research, review, and adjudicate claims according to client workflows and turnaround times

Required Qualifications

3 years of hands-on experience in Healthcare Claims Processing

High school diploma or GED

Experience working in a productivity and quality-focused environment

Proficiency in using MS Office products, including Outlook, Word, and Excel

Ability to navigate multiple systems effectively