Medical Claims Specialist

Working remotely on a full-time basis, the Medical Claims Specialist will manage medical claims processing, ensuring compliance with coding standards while maintaining high accuracy and efficiency in a fast-paced environment. Key responsibilities: Process and review medical claims, applying knowledge of specialized medical claims processing and fraud detection Maintain performance metrics, aiming for high accuracy and compliance with payment standards Communicate effectively with team members, providers, and clients to resolve claims-related issues Required qualifications: Four years of medical claims processing experience Comprehensive knowledge of medical claims coding and reimbursement methodologies Strong analytical skills and attention to detail Proficiency in Microsoft Office programs Ability to work independently and manage multiple tasks in a customer service-driven environment