Claims Processor – Health Plan Claims Expert

Medical Associates; Dubuque (IA); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health insurance

401k with company match

Flexible Paid Time Off (24 days/year)

Flexible spending accounts (HSA/DCFSA)

Job summary

Medical Associates is seeking a Claims Processor to join our team in Iowa. The role requires strong communication, Excel skills, and the ability to multi-task in a collaborative environment.

Responsibilities include processing and paying claims, supporting subrogation resolutions, and interpreting health plan benefits for stakeholders. High school diploma or GED and 1–3 years of related experience preferred.

Qualifications

• High school diploma or GED required.
• 1–3 years of related claims processing experience preferred.
• Proficiency in Microsoft Excel and accurate typing required.

Responsibilities

• Examine, process, calculate, and pay claims after verification of fee schedules and contract benefits.
• Assist Health Care Services and Subrogation Specialist to ensure timely resolution of claims pended for subrogation and medical authorization.
• Possess knowledge of all health plan benefit plans and provide interpretation to members, brokers, providers, and employers.
• Make appropriate adjustments to previously adjudicated claims.

Skills

Communication

Microsoft Excel

Team collaboration

Typing speed

Education

High school diploma or GED

Tools

Microsoft Office Suite

Job description

Medical Associates is seeking a Claims Processor to join our team in Iowa. The role requires strong communication, Excel skills, and the ability to multi-task in a collaborative environment.

Responsibilities include processing and paying claims, supporting subrogation resolutions, and interpreting health plan benefits for stakeholders. High school diploma or GED and 1–3 years of related experience preferred.