A Medical claim processor is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. The processor will work methodically as front-end support for our bill review department to ensure the proper sorting and organization of bills prior to data entry into our software system.

Responsibilities:

• Receive and sort medical bills according to client specifications, state, and claimant order (types of bills include professional, hospital, dental and pharmacies bills)
• Separate and send back all incomplete bills to provider or clients
• Scan bills into the software and verify successful transmission into database
• Track scanning errors and report problems to manager for IT resolution
• Stay abreast of fee schedule states that are not up to date in the data processing system
• Understand the guidelines and differences between types of carriers/clients, which include workers’ compensation, liability, occupational accident, maritime, and non-subscribers
• Possess skills such as excellent attention to detail, medical terminology, and computer skills (such as Microsoft Office, Outlook)
• Other administrative responsibilities include tracking bill count, updating batch sheets, faxing copies of bills back to providers, and updating spreadsheets
• May be asked to perform other duties as management deems necessary

Education/Qualifications:

• Assoc. Degree

• 2 to 4 years of administrative experience

• Experience in CPT/medical coding is preferred

• Must be fast on 10-key ( minimum of 8,000 KPH/50-75WPM) and computers and proven aptitude for working with numbers

• Must be knowledgeable of Excel, Word, Outlook, etc.

• Ability to multi-task effectively while meeting or exceeding aggressive deadlines

• Ability to work independently and in a team environment

• Excellent attention to detail and ability to think strategically

• Strong written and verbal communication and organizational skills

• Effective analytical and interpersonal skills