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 specified thresholds

Research, review, and adjudicate claims in accordance with client guidelines 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

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

Ability to navigate multiple systems and screens efficiently