Medical Claims Processor

A company is looking for a Medical Claims Processor - Remote.

Key Responsibilities

Review data in the claim processing system and compare it with corresponding claim information

Assess medical records to determine the appropriateness of services rendered

Handle designated tasks within appropriate timeframes to meet internal and external SLAs

Required Qualifications

At least a High School Diploma or equivalent

A minimum of 1 year of medical claims processing experience

Facets experience is highly preferred

Knowledge of medical coding, billing, and terminology (CPT, HCPCS, ICD-9)

Experience with institutional (CMS-1450) and / or professional (CMS 1500) claims