Medicare/Medicaid Claims Processing Specialist

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

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.