Hybrid Claims Processing Specialist

PayMedix; Milwaukee (WI); Hybrid; USD 50,000 - 70,000; Full time

Job summary

A healthcare company in Milwaukee is seeking a detail-oriented Claims Processing Specialist to support the Claims Processing Team. This hybrid role involves processing claims, generating reports, and responding to inquiries. The ideal candidate has at least three years of experience in medical claims processing, a Bachelor's degree preferred, and strong analytical and communication skills. Join our team to ensure efficient payment operations while collaborating with various stakeholders.

Qualifications

• Strong analytical, organizational, documentation, and time-management skills.
• Proven ability to manage daily operational tasks independently.
• Clear communication skills with effective coordination across teams.

Responsibilities

• Process claims files using internal systems and TPA websites.
• Correct claim errors prior to adjudication.
• Respond to emails from employer groups and TPAs.

Skills

Attention to detail

Analytical skills

Organizational skills

Time-management skills

Communication skills

Ability to manage priorities

Education

Bachelor’s degree or equivalent experience

Minimum of three years in medical claims processing

Tools

MS Office (Excel, Word, Outlook, PowerPoint)

Claims management software

Job description

A healthcare company in Milwaukee is seeking a detail-oriented Claims Processing Specialist to support the Claims Processing Team. This hybrid role involves processing claims, generating reports, and responding to inquiries. The ideal candidate has at least three years of experience in medical claims processing, a Bachelor's degree preferred, and strong analytical and communication skills. Join our team to ensure efficient payment operations while collaborating with various stakeholders.