Claims Processor Position Available In Terrebonne, Louisiana

Claims Processor 5.0 5.0 out of 5 stars Houma, LA 70364

Job Summary:

We are looking for a detail-oriented and organized Claims Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and managing insurance or service claims accurately and efficiently. This role requires excellent analytical skills, strong attention to detail, and the ability to work within deadlines.

Key Responsibilities:

Review and verify incoming claims for accuracy, completeness, and compliance with policy terms Enter and update claim information in the system accurately Communicate with clients, providers, or internal departments to gather missing or additional information Process claims for payment or denial in accordance with company guidelines and procedures Maintain records of claims activity and documentation Resolve discrepancies or escalate issues to appropriate departments Ensure timely and accurate processing of claims to meet service level agreements (SLAs) Follow up on pending or incomplete claims Stay up to date with industry regulations, company policies, and procedural changes

Qualifications:

High school diploma or equivalent (Associate’s or Bachelor’s degree preferred) Previous experience in claims processing, insurance, healthcare, or a related field is a plus Strong attention to detail and accuracy Excellent data entry and computer skills (MS Office, claims management software) Good communication and interpersonal skills Ability to work independently and manage time effectively

Working Conditions:

Typically office-based or remote (depending on the company) May involve repetitive tasks and extended screen time Standard business hours, with occasional overtime based on workload Summary As a Claims Processor, you will be integral to the efficient handling of insurance claims, reporting directly to the Claims Manager. Your role involves verifying insurance information, processing claims accurately, and ensuring compliance with HIPAA regulations. With core skills in clerical tasks and organizational abilities, you will utilize your knowledge of

ICD-10, CPT

coding, and Medicare to manage medical documentation effectively. Your attention to detail and familiarity with financial software will enhance the accuracy of claims processing, contributing to the overall success of our organization in delivering exceptional service to clients.

Job Type:

Full-time Pay:

$14.00 – $18.00 per hour

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off

Schedule:

8 hour shift Monday to

Friday Work Location:

In person