Company Overview
[$COMPANY_OVERVIEW]
Role Overview
We are looking for a detail-oriented Junior Medical Claims Processor to join our dynamic team at [$COMPANY_NAME]. In this entry-level role, you will be responsible for processing, reviewing, and adjudicating medical claims, ensuring accuracy and compliance with relevant regulations. This is an excellent opportunity to launch your career in the healthcare industry while contributing to the efficiency of our operations.
Responsibilities
- Review and process incoming medical claims accurately and efficiently, ensuring compliance with company policies and healthcare regulations.
- Verify patient eligibility, benefits, and medical necessity by collaborating with healthcare providers and insurers.
- Investigate and resolve discrepancies or issues related to claims, including denials and rejections.
- Maintain accurate and organized records of processed claims and communications.
- Assist in the development and implementation of best practices to improve claims processing efficiency.
Required and Preferred Qualifications
Required:
- High school diploma or equivalent; an associate degree in healthcare administration or a related field is a plus.
- Basic understanding of medical terminology and health insurance processes.
- Strong attention to detail and ability to work with numbers accurately.
- Effective communication skills, both verbal and written.
Preferred:
- Previous experience in healthcare, medical billing, or claims processing is an advantage.
- Familiarity with electronic health record (EHR) systems and medical coding (CPT, ICD-10).
Technical Skills and Relevant Technologies
- Proficiency in Microsoft Office Suite, particularly Excel for data tracking and reporting.
- Experience with claims processing software and databases.
- Ability to quickly learn new software and systems as needed.
Soft Skills and Cultural Fit
- Strong analytical and problem-solving skills, with a focus on accuracy.
- Ability to work independently and manage time effectively in a remote work environment.
- Enthusiastic, proactive approach to learning and professional development.
- Commitment to providing exceptional customer service to both internal and external stakeholders.
Benefits and Perks
Salary: [$SALARY_RANGE]
We offer a comprehensive benefits package that includes:
- Health, dental, and vision insurance
- 401(k) retirement plan with company matching
- Generous paid time off and holidays
- Opportunities for professional development and training
- Flexible work hours and a supportive remote work environment
Equal Opportunity Statement
[$COMPANY_NAME] is committed to fostering a diverse and inclusive workplace. We are an Equal Opportunity Employer and encourage applicants from all backgrounds to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, disability, or any other characteristic protected by law.
Location
This is a fully remote position.
We encourage applicants to apply even if they do not meet all the qualifications listed above. If you are passionate about the healthcare industry and eager to learn, we want to hear from you!
