Want to know if you’re a fit? Upload your resume and let our AI show you.
Skills
Analysis Skillsunmatched
Auditingunmatched
Documentationunmatched
Health Planunmatched
Healthcareunmatched
Information Technology Consultingunmatched
Record Keepingunmatched
Standard Operating Procedures (SOP)unmatched
Description
Our client, a IT Services and Consulting company, is looking for a Claims Processor for their Remote location.
Responsibilities:
Analyze medical claims and supporting documentation to determine eligibility and payment amounts based on provided SOPs.
Conduct thorough evaluations of claims to assess legitimacy while meeting monthly production and quality targets.
Record Keeping: Maintain detailed records of claims processed, decisions made, and communications with claimants for auditing purposes, and report daily results to the lead at the end of each day without fail.