Claims Processor

➢ Bachelor’s degree in Healthcare Administration, Business, or related field
➢ Prior experience in healthcare claims processing or medical billing, preferably within an HMO or managed care organization.
➢ Proficiency in medical terminology, CPT, HCPCS, and ICD-10 coding principles.
➢ Familiarity with healthcare reimbursement methodologies, such as DRGs, RBRVS, and fee schedules.
➢ Strong analytical and problem-solving skills with keen attention to detail.
➢ Excellent communication skills, both verbal and written, with the ability to interact professionally with internal and external stakeholders.
➢ Proficiency in using computerized claims processing systems and software applications.
➢ Ability to prioritize tasks, manage workload efficiently, and meet deadlines in a fast-paced environment.