Claims Associate

Medical Claims Associate

The Claims Business Associate will perform all the duties necessary to ensure group members and providers receive proper payment of policy benefits in a timely manner while providing excellent customer service.

Duties include but are not limited to:

Receive pending claims for evaluation and processing.

Enter and/or review claims data in the claims administration system and adjudicate claims.

Accurately code explanation of benefits.

Maintain claims and task procedural financial and timing standards.

Adjudicate pending claims.

Review claims and research as needed.

Process claims received.

Experience: 3 years claims processing experience. A working knowledge of ICD10 CPT codes and HIPAA guidelines; knowledge of medical terminology.

This is a fully remote position.

Requirements