Claims Processing Representative

Choose901; Germantown (TN); On-site; USD 32,000 - 52,000; Full time

Job summary

Choose901 in Germantown, TN is seeking a Claims Processing Representative to support the submission of medical claims and related documents. The role involves handling claim forms and explanations of benefits while ensuring compliance with Medicare and Medicaid rules.

You will perform data entry into insurance portals, retrieve necessary medical records, and finalize claim submissions with accuracy and timeliness. Excellent pay and comprehensive benefits are offered.

Qualifications

• High school diploma or equivalent with 6–12 months of data entry or medical office experience preferred
• 10-key proficiency required
• Typing speed of at least 35 wpm
• Knowledge of medical terminology, CPT codes and ICD-10 codes preferred
• Demonstrates punctuality, organization and flexibility

Responsibilities

• Send out claim forms and EOBs.
• Process secondary medical insurance claims per Medicare/Medicaid rules.
• Enter data into insurance portals for electronic claims submissions.
• Pull medical records to finalize claim submissions.

Skills

10-key proficiency

35 wpm typing

Analytical reasoning

Written and verbal communication

Punctuality

Organization

Flexibility

Education

High school diploma or equivalent

Job description

Claims Processing Representative

Immediate opening for a full time Claims Processing Representative at our Germantown, TN location. Job duties include but not limited to sending out claim forms, EOB's, along with processing secondary medical insurance claims in accordance to Medicare and Medicaid benefit rules. Data entry into various insurance portals for electronic claim submissions along with pulling the corresponding medical records to finalize claim submission.

Minimum Requirements

• High school diploma and equivalent with 6-12 months of data entry or medical office experience preferred
• 10-key proficiency
• Type a minimum of 35 wpm
• Knowledge of medical terminology, CPT codes and ICD-10 codes preferred
• Demonstrates work habits that include punctuality, organization, and flexibility
• Ability to maintain balanced performance in areas of production and quality
• Analytical reasoning and flexibility
• Professional and effective written and verbal communication skills

Excellent pay and benefits.