Claims Processor

Insurance Claims Processor

Under general supervision interacts daily with patients insurances and staff to identify and correct data errors. Performs claims processing tasks to ensure that claims are accepted in a timely manner and within payor filing windows. Tracks claim status manages denials initiates re-openings and appeals to maximize insurance reimbursement. Follows open issues to ensure timely resolution. Performs tasks according to baseline goals and objectives.

Education/ Experience Requirements:

• High School graduate (or GED equivalent).
• 1-2 years insurance or medical billing experience. Physician practice setting preferred.
• Knowledge of medical terminology and CPT/ICD-9 coding necessary.
• Comprehension of government and third party billing regulations required.
• Must be able to utilize Microsoft office applications perform internet navigation and research and have prior experience using a computerized health information system.
• Needs to be familiar with operating general office equipment including but not limited to: scanner fax machine photocopy machine printer and adding machine.
• Must demonstrate effective communication and problem solving skills.