Insurance Claims Processor
Peak Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- Review and oversee the adjudication of claims
- Analyze and process insurance claims
- Determine whether to return, deny, or pay claims
- Screen, review, evaluate online entry, error correction, and quality control for final adjudication of claims
- Resolve claim edits and review history records
- Communicate effectively with internal and external staff
- Ensure accuracy of data entered and record maintenance
- Attend all required training classes
Requirements
- High School diploma/GED
- One (1) year of experience working with medical or institutional claim data entry OR One (1) year of customer service experience
- Associate Degree in related healthcare field preferred
- Two plus years of medical or institutional claims processing and customer service experience preferred
- Working Knowledge of administrative and clerical procedures and systems
- Excellent written and oral communication skills
- Ability to understand medical insurance requirements and basic knowledge of covered services
Benefits
- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements
- Training and development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims adjudicationinsurance claims processingdata entryerror correctionquality controlclaim edits resolutionrecord maintenancemedical insurance requirementscovered services knowledge
Soft skills
effective communicationwritten communicationoral communicationcustomer serviceanalytical skills
Certifications
High School diplomaGEDAssociate Degree in healthcare field