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Title
Text copied to clipboard!Healthcare Claims Processor
Description
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We are looking for a detail-oriented and highly organized Healthcare Claims Processor to join our team. In this role, you will be responsible for accurately processing medical insurance claims, verifying insurance coverage, and reviewing medical bills. You will also be required to liaise with healthcare providers and insurance companies to resolve any discrepancies and ensure that claims are processed and paid in a timely manner. The ideal candidate will have a strong understanding of medical terminology, coding, and billing procedures, as well as excellent communication and problem-solving skills. This is a critical role in our organization, and we are looking for someone who can handle the pressure and complexity of the healthcare industry.
Responsibilities
Text copied to clipboard!- Processing medical insurance claims
- Verifying insurance coverage
- Reviewing medical bills
- Liaising with healthcare providers and insurance companies
- Resolving claim discrepancies
- Ensuring timely payment of claims
- Maintaining accurate records of processed claims
- Identifying and reporting trends in claim processing
- Staying up-to-date with changes in insurance policies and regulations
- Providing excellent customer service to patients and healthcare providers
Requirements
Text copied to clipboard!- High school diploma or equivalent
- Previous experience in medical billing or insurance claims processing
- Knowledge of medical terminology, coding, and billing procedures
- Strong attention to detail and organizational skills
- Excellent communication and problem-solving skills
- Ability to handle sensitive information confidentially
- Proficiency in Microsoft Office and medical billing software
- Ability to work under pressure and meet deadlines
- Strong numerical skills
- Understanding of healthcare regulations and policies
Potential interview questions
Text copied to clipboard!- Can you describe your experience with medical billing or insurance claims processing?
- How do you handle discrepancies in insurance claims?
- Can you explain how you stay up-to-date with changes in insurance policies and regulations?
- How do you ensure the confidentiality of sensitive information?
- Can you describe a time when you had to meet a tight deadline in your previous role?