Claims Processing Professional

3 weeks ago


Henderson, Nevada, United States Paysign Inc Full time
Job Description
Paysign Inc is seeking a highly skilled Claims Processing Professional to join our team. As a Claims Processing Professional, you will be responsible for the accurate and efficient processing of medical copay claims. This role requires a high level of attention to detail, excellent analytical and problem-solving skills, and the ability to work effectively in a fast-paced environment.

You will be responsible for reviewing and validating claims, ensuring all necessary documentation is included, and identifying opportunities for process improvement. You will also work closely with internal teams and external clients to ensure that claims are processed accurately and efficiently.

Key Responsibilities:
  • Review and validate medical copay claims for completeness and accuracy.
  • Ensure all required documentation is included and meets client and regulatory standards.
  • Accurately input claim data into the billing system or electronic health records platform.
  • Navigate and utilize various software applications to process claims efficiently.
  • Apply knowledge of medical coding to ensure accurate benefit is provided.
  • Investigate and resolve discrepancies or issues related to claims, including coding errors, eligibility concerns, rejections, and business rules disputes.
  • Identify opportunities for process improvement and contribute to the development of best practices.

Requirements:
  • Excellent written and oral skills.
  • Computer literacy and keyboard typing skills.
  • Proficiency in Microsoft Office Suites.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Problem-solving skills and the ability to handle challenging situations with professionalism and empathy.
  • Bilingual preferred – English/Spanish.

Salary Range:$70,000 - $90,000 per year.

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