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$19/hr. Fully Remote Medical Benefits & Claims Support Representative

Career Insights for Medical Claims Processor / Representative

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$41,082 / year median in the U.S.

-3% projected decline

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Job Description

  • NOW HIRING!
  • Fortune 500 Healthcare company in search of driven healthcare claims specialist
  • If you are meticulous and find it rewarding to help patients, this role may be great for you!
!
Job Title:
Medical Benefits & Claims Support Representative Pay:
$19/hr. Weekly Pay plus Benefits Paid Training!!! Equipment will be shipped to you!
Schedule:
8am-9pm EST. M-Fri. (Must be able to work ANY 8hr Shift between these hours)
Projected Start Date:
Early TBA Key Responsibilities:
Review and process medical claims submitted by healthcare providers. May perform some outbound calls and or take some inbound calls assisting patients with medical related inquiries. Verify claim information and ensure it aligns with patient records and insurance policies. Communicate with providers, insurance companies, and patients to resolve discrepancies. Investigate and analyze claim denials or rejections and take appropriate actions to rectify issues.
Qualifications:
1+ year of verifiable RECENT experience in Medical claims or healthcare insurance (NO
EXCEPTIONS
) Must be able to go through the hiring process quickly. No time off allowed the first 90 days. Proven experience in medical claims processing or a similar role. Call center experience preferred but not required. Strong knowledge of medical terminology, coding, and billing practices (ICD-10, CPT, HCPCS). Proficiency with medical billing software and MS Office Suite. Great work attitude and willingness to help others.