Healthcare Claims Processing Associate

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

Key Responsibilities

Process professional and institutional claims while ensuring compliance with HIPAA and confidentiality regulations

Review policies and benefits, prioritize work, and adjudicate claims according to defined workflows and guidelines

Maintain quality scores above 98.5% PA and 99.75% FA, and respond to claims received via email in a timely manner

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

Familiarity with MS Office products, including Outlook, MS Word, and MS Excel

Ability to navigate multiple systems and screens efficiently