Required Education:
• High School graduate
Location Requirement:
• Remote (within 2.5 hours driving radius from Denver, CO to pick up equipment)
Required Qualifications/Skills/Experience:
• Minimum 3 years of claims processing/adjudication experience
• Must be within a 2.5-hour driving radius from Denver to pick up equipment
• Strong attention to detail and accuracy in claim review
• Proficiency with relevant claims processing systems and MS Office tools
Overview:
• We are seeking an experienced Medical Claims Processor to join our team. This role involves accurately processing and adjudicating medical claims in compliance with policies, guidelines, and regulatory requirements.
Job Summary:
• The Medical Claims Processor will be responsible for reviewing, analyzing, and adjudicating medical claims in an efficient and timely manner. The ideal candidate will have a solid understanding of claims processing rules, medical terminology, and healthcare billing codes.
Job Responsibilities:
• Accurately process and adjudicate medical claims according to policy and regulations
• Review claim information for completeness and accuracy
• Identify discrepancies and resolve claim issues in a timely manner
• Communicate with internal teams to clarify claim-related details
• Maintain confidentiality and comply with HIPAA requirements
• Meet productivity and quality performance standards
Shift:
• Mon to Fri, 8:00 AM to 4:30 PM
Interview Process:
• Virtual interview via Microsoft Teams
Industry:
• Healthcare
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**