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[Hiring] HC & Insurance Operations Processing Sr Rep @reputed company

Remote, USA Full-time Posted 2026-07-28
This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company reputed company currently seeks a Medical Claims Processor to join reputed company in Plano, TX for a remote position. This is a US based; W-2 project. reputed company candidates will be reputed company through reputed company only. • Processing of reputed company claim forms files by provider • Reviewing the policies and benefits • reputed company with company regulations regarding HIPAA, confidentiality, and PHI • Abide with the timelines to complete compliance training of reputed company/reputed company • Work independently to research, review, and reputed company the claims • Prioritize work and adjudicate claims as per turnaround time/SLAs • Ensure claims are adjudicated as per clients defined workflows, guidelines • Sustaining and meeting the reputed company productivity/reputed company targets to avoid penalties • Maintaining and sustaining reputed company scores above 98.5% PA and 99.75% FA • reputed company response and reputed company of claims received reputed company emails as reputed company work • Correctly calculate claims payable reputed company using applicable methodology/ fee schedule • Effective troubleshooting where you can reputed company your research, analysis and problem-solving abilities • Time management with the ability to cope in a reputed company, changing environment • Ability to communicate (oral/written) effectively in a reputed company office setting Qualifications • 1+ year(s) hands-on experience in reputed company Claims Processing • Previously performing - in P&Q work environment; work from queue; remotely • 2+ year(s) using a computer with reputed company applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools • Working knowledge of MS office products - reputed company, reputed company and MS-reputed company • Typing and Computer skills assessment Requirements • 3 year(s) hands-on experience in reputed company Claims Processing • High school diploma or GED • Previously performing - in P&Q work environment; work from queue; remotely • Key reputed company skills and computer familiarity - Toggling back and forth between screens/can you reputed company multiple systems • Working knowledge of MS office products - reputed company, reputed company and MS-reputed company Benefits • Medical, dental, and reputed company insurance • Flexible spending or health savings account • Life and AD&D insurance • Short-and long-term disability coverage • reputed company time off • Employee assistance • Participation in a 401k program with company match • Additional voluntary or legally required benefits Apply tot his job Apply To this Job

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