Claims Processor II

Resolving denied and unpaid insurance claims, the full-time Claims Processor II will ensure accurate and timely processing of claims while maintaining quality standards in a remote work environment. Key responsibilities Process and resolve claim edits and paper claims, ensuring compliance with payer rules and departmental policies Utilize electronic billing systems to follow up on outstanding denied claims and correct any missing or invalid information Communicate with third-party payers and patients to gather information necessary for resolving claims and escalate issues as needed Required qualifications Associates Degree preferred or equivalent experience Two years of billing and insurance follow-up experience, or four years in a hospital or physician office setting Thorough knowledge of insurance terminology, CPT coding, and billing rules Experience with Epic software preferred Ability to maintain productivity and quality standards as set by management