Get It Recruit – Healthcare Hiring for Medical Insurance Claims Processor – Remote | WFH at Coppell, TX Full Time

Are you detail-oriented with a knack for navigating medical insurance claims? We’re seeking a skilled Claim Processor to join our team. This is a fully remote position with a focus on efficiency and accuracy during EST hours. Join us and play a vital role in ensuring the smooth processing of medical insurance claims.

What You’ll Receive

Weekday Schedule (No Weekends)

Provided Equipment

Don’t miss the chance to apply today and embark on this rewarding opportunity!

Responsibilities

As a Claim Processor, you’ll be entrusted with the following tasks:

Analyze and process medical insurance claims in adherence to Dental and Vision policies and procedures.

Thoroughly verify the accuracy of data input into claims system software.

Validate claims authenticity by meticulously reviewing attached documentation and files for completeness and accuracy.

Make informed decisions to approve or deny claims for payment, ensuring fee correctness and proper authorization submission.

Uphold timely claim processing in alignment with established guidelines.

Identify and address recurring provider or member issues, proposing effective solutions to Management.

Collaborate with the membership department to maintain the accuracy of member coverage information and address discrepancies.

Resolve claims-related inquiries from the Customer Service department promptly and efficiently.

Maintain strict adherence to HIPAA standards to safeguard member privacy.

Requirements

High School Diploma

1-3 years of experience in claims processing (Medical, Dental, or Vision)

Proficient understanding of Medical/Dental/Vision terminology

Ability to navigate Microsoft Office with ease

Join our dynamic team and contribute to our commitment to excellence in claims processing. Apply now to embark on this exciting journey with us!

Employment Type: Full-Time