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Medical Claims Processor

2 months ago

St Louis, Missouri, United States Lifelancer Full time
About the Job

We are seeking a highly organized and detail-oriented Medical Claims Processor to join our team at Lifelancer. As a key member of our Patient Support team, you will play a critical role in ensuring the smooth processing of medical claims.

Job Responsibilities
  • Receive and review medical claims from healthcare providers and patients, ensuring all necessary documentation is provided.
  • Interpret Explanation of Benefits (EOB) and CMS1500 forms to determine claim eligibility.
  • Vet claims against program-specific business rules to determine payment or rejection.
  • Provide exceptional customer service via phone, email, or other contact methods.
  • Identify operational challenges and suggest recommendations to management as needed.
Requirements
  • High School Diploma or equivalent required.
  • Experience in claim processing and medical billing/coding certification required.
  • Ability to interpret EOBs and HIPPA certification.
  • Customer service experience and pharmacy technician experience preferred.
What We Offer

$23.00 per hour and the opportunity to work in a dynamic and supportive team environment.

Please visit our website for more information and to apply for this exciting opportunity.