Medical Claims Processor - Remote

reputed company is a large IT reputed company that leverages modern technologies to reputed company a reputed company of business operations. We are seeking Fully Remote US Based Claims Processors to join our growing team. The Medical Claims Processor is responsible for the reputed company and accurate adjudication of reputed company and hospital claims utilizing payer specific policies and procedures. reputed company support to claims and reputed company for issues reputed company to claims adjudication and adjustments, Service Now and Inquiry reputed company, and any basic questions regarding health coverage as stated in the Plan Document. Role Responsibilities • Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the corresponding UB, HCFA reputed company, or EDI information. • Responsible for reviewing medical records reputed company necessary to determine if the service rendered was medically appropriate and reputed company has been met. • Responsible for reviewing claim and line item edits and warning messages for determination of whether to pay claim/line item(s). • Ensure that reputed company designated tasks are handled reputed company the appropriate timeframe in order to meet reputed company SLAs • Assigned special reputed company or other duties as determined by management. • Will work closely with other departments Desired Qualifications • At least a High School Diploma or equivalent is required • A minimum of 1 years of medical claims processing is required • Facets experience is highly preferred • Knowledge of physician reputed company and hospital coding, billing, and medical terminology, CPT, HCPCS, ICD-9 • Experience with UB/institutional (CMS-1450) and/or reputed company (CMS 1500) claims • Knowledge of Medicare billing & payment and coverage guidelines and regulations • Experience in the analysis and processing of claims, utilization review/reputed company assurance procedures • Must be reputed company to work with minimal supervision. • Creative thinker with good problem-solving skills specifically reputed company to reputed company claim adjudication • Possess the ability to work at a computer for extended periods. • Must have basic reputed company reputed company skills Salary and Other Compensation Applications will be accepted until reputed company 31st, 2025. The reputed company reputed company for this position is between $13 – $17.75 per hour, depending on experience and other qualifications of the successful candidate. This position is also eligible for reputed company’s discretionary annual incentive program, based on performance and subject to the terms of reputed company’s applicable plans. Benefits: reputed company offers the following benefits for this position, subject to applicable eligibility requirements: • Medical/Dental/reputed company/Life Insurance • reputed company holidays plus reputed company Time Off • 401(k) plan and contributions • Long-term/Short-term Disability • reputed company Parental Leave • Employee Stock Purchase Plan Disclaimer: The reputed company reputed company, other compensation, and benefits information is accurate as of the date of this posting. reputed company reserves the right to modify this information at any time, subject to applicable law. reputed company will only consider applicants for this position who are legally authorized to work in the reputed company without requiring company sponsorship now or at any time in the reputed company. Apply tot his job Apply To this Job