Medical Claim Processor

Roles and Responsibilities :

• Process medical claims from receipt to payment, ensuring accuracy and timeliness.
• Review and verify claim details, including patient information, provider information, and service codes.
• Identify potential denials and take corrective action to resolve issues before submitting claims to insurance companies.
• Maintain accurate records of all interactions with patients, providers, and insurers.

Job Requirements :

• 0-3 years of experience in Medical Claim Processor role or related field (TPA).
• Strong understanding of claims processing procedures and regulations.
• Proficiency in reviewing electronic health records (EHRs) for relevant data entry.
• Ability to work accurately under tight deadlines while maintaining attention to detail.