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AO
Atlantic Orthopaedic Specialists
Experienced Medical Insurance Claim Representative
Career Insights for Medical Claims Processor / Representative
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Scorecard
Based on Virginia data
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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.
$48,611 / year median in Virginia
-5% projected decline
Job Description
Overview We are seeking a medical insurance claim representative with a sharp eye for detail and a passion for accuracy. In this role, you will bridge between healthcare providers, policyholders, and our organization. You will utilize your deep understanding of healthcare terminology and coding to ensure accurate, timely and complaint claim resolutions. If you have a proven track record of solving complex billing puzzles and providing top-tier service. please apply. Responsibilities Review, investigate and adjudicate high-volume, complex medical insurance claims in compliance with policy guidelines. Review explanation of benefits, claim rejection codes, and