Claims Processor

**Summary**:
Responsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligations of the organization.

**Duties and Responsibilities**:

- Accurately review all incoming claims to verify if required fields are populated.
- Process claims information into the computerized claims adjudication system.
- Ability to process claims in the allotted time based on departmental policies and procedures.
- Maintain all required documentation of claims processed and claims on hand.
- Ability to keep track of pending claims while maintaining timeliness.
- Maintain production standards of manually processed claims; CMS-1500 minimum of 90/day and UB-04 minimum of 50/day. Production standards may vary based on claim type and detail.
- Work collaboratively with other departments on resolving claim issues.
- Provide backup for other processors and examiners within the department.
- Perform additional duties/tasks assigned by leadership.
- Promote a spirit of cooperation and understanding among all personnel.
- Attend organizational meetings and trainings as required.
- Adhere to organization and departmental policies and procedures.
- Adhere to MedPOINT Management’s Core Values: Accountability, Community, Celebration, Integrity, Innovation, and Collaboration.

**Minimum Job Requirements**:
High school diploma or GED.

**Skills and Abilities Required**:

- Knowledge of computers, 10 Key, and MS Office (e.g. Outlook, Excel, Word).
- Exceptional attention to detail and accuracy.
- Ability to be flexible in high volume setting.
- Critical thinking and problem solving.
- Strong interpersonal, written, and verbal communication skills.
- Ability to manage time effectively, set priorities, and meet deadlines.
- Ability to learn and adapt to change.
- Receptive to instruction and constructive criticism.

**Salary Range**:

- $19.00 per hour