Rose International
Required Education
High School graduate
Location Requirement
Remote (within 2.5 hours driving radius from Denver, CO to pick up equipment)
Required Qualifications / Skills / Experience
Minimum 3 years of claims processing / adjudication experience
Must be within a 2.5-hour driving radius from Denver to pick up equipment
Strong attention to detail and accuracy in claim review
Proficiency with relevant claims processing systems and MS Office tools
Overview
We are seeking an experienced Medical Claims Processor to join our team. This role involves accurately processing and adjudicating medical claims in compliance with policies, guidelines, and regulatory requirements.
Job Summary
The Medical Claims Processor will be responsible for reviewing, analyzing, and adjudicating medical claims in an efficient and timely manner. The ideal candidate will have a solid understanding of claims processing rules, medical terminology, and healthcare billing codes.
Job Responsibilities
Accurately process and adjudicate medical claims according to policy and regulations
Review claim information for completeness and accuracy
Identify discrepancies and resolve claim issues in a timely manner
Communicate with internal teams to clarify claim-related details
Maintain confidentiality and comply with HIPAA requirements
Meet productivity and quality performance standards
Shift
Mon to Fri, 8 : 00 AM to 4 : 30 PM
Interview Process
Virtual interview via Microsoft Teams
Industry
Healthcare
Equal Employment Opportunity Statement
Only those lawfully authorized to work in the designated country associated with the position will be considered.
Additional Notes
Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.
#J-18808-Ljbffr
High School graduate
Location Requirement
Remote (within 2.5 hours driving radius from Denver, CO to pick up equipment)
Required Qualifications / Skills / Experience
Minimum 3 years of claims processing / adjudication experience
Must be within a 2.5-hour driving radius from Denver to pick up equipment
Strong attention to detail and accuracy in claim review
Proficiency with relevant claims processing systems and MS Office tools
Overview
We are seeking an experienced Medical Claims Processor to join our team. This role involves accurately processing and adjudicating medical claims in compliance with policies, guidelines, and regulatory requirements.
Job Summary
The Medical Claims Processor will be responsible for reviewing, analyzing, and adjudicating medical claims in an efficient and timely manner. The ideal candidate will have a solid understanding of claims processing rules, medical terminology, and healthcare billing codes.
Job Responsibilities
Accurately process and adjudicate medical claims according to policy and regulations
Review claim information for completeness and accuracy
Identify discrepancies and resolve claim issues in a timely manner
Communicate with internal teams to clarify claim-related details
Maintain confidentiality and comply with HIPAA requirements
Meet productivity and quality performance standards
Shift
Mon to Fri, 8 : 00 AM to 4 : 30 PM
Interview Process
Virtual interview via Microsoft Teams
Industry
Healthcare
Equal Employment Opportunity Statement
Only those lawfully authorized to work in the designated country associated with the position will be considered.
Additional Notes
Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.
#J-18808-Ljbffr