
Medical Claims Professional
15 hours ago
Our organization is seeking a skilled Medical Claims Processor to fill an entry-level position. As a key member of our team, you will play a critical role in ensuring the timely and accurate submission and tracking of medical claims while maintaining compliance with all relevant policies and regulations.
Responsibilities- Enter claim information into the system accurately and maintain organized spreadsheets for efficient data management.
- Monitor payments and denials, resolving any related issues promptly.
- Resubmit denied or incorrect claims using tools such as Trizetto Simple Claim.
- Prepare and deliver monthly billing reports to stakeholders.
- Communicate effectively with insurance agencies to address inquiries and resolve claim denials.
- Experience in medical billing and claims management.
- Proficiency in ClickUp, Google Suite (Docs, Sheets), and Trizetto Simple Claim.
- Strong attention to detail and accuracy in data entry.
- Excellent communication skills for handling insurance-related matters.
- Ability to analyze claim denials and determine the best course of action.
- Self-motivation, organizational skills, and ability to meet deadlines in a fast-paced environment.
Monday to Friday, 9:00 AM – 6:00 PM.
Benefits- Opportunity to develop expertise in medical claims processing.
- Work in a structured environment with access to latest technology and tools.
- Seniority level: Entry level.
- Employment type: Full-time.
- Job function: Health Care Provider.
- Industries: Technology, Information and Internet.
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