
Claim Processor
1 day ago
In this pivotal role, you will be responsible for ensuring the efficient and accurate processing of medical claims.
- You will accurately input claim information into our system and maintain organized spreadsheets to ensure seamless operations.
- Track payments and denials, guaranteeing that claims are processed in a timely and effective manner.
- Resubmit denied or incorrect claims and promptly resolve any related issues.
- Prepare and deliver monthly claim billing reports and summaries to stakeholders.
- Communicate with insurance agencies to address inquiries and resolve claim denials.
- Leverage tools such as ClickUp, Google Suite, and Trizetto Simple Claim to streamline workflows and enhance productivity.
- Experience in medical billing and claims management is essential.
- Proficiency in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim is required.
- A strong attention to detail and accuracy in data entry is crucial.
- Excellent communication skills are necessary for handling insurance inquiries and resolving issues.
- The ability to analyze claim denials and determine the best course of action is vital.
- Self-motivation, organization, and the ability to meet deadlines in a fast-paced environment are key qualities.
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