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Medical Claims Processor

2 months ago


Philadelphia, Pennsylvania, United States Lifelancer Full time
About the Job

We are seeking a highly skilled Medical Claims Processor to join our team at Lifelancer.

Job Summary

The successful candidate will be responsible for receiving medical claims from healthcare providers and patients, ensuring the accuracy of claims, and determining payment eligibility.

Key Responsibilities
  • Receive and process medical claims from healthcare providers and patients
  • Verify the accuracy of claims and ensure compliance with program rules
  • Determine payment eligibility and make recommendations to management
  • Provide exceptional customer service and support to patients and healthcare providers
  • Work collaboratively with the team to resolve operational challenges and improve processes
Requirements
  • High School Diploma or equivalent
  • Experience in claim processing and medical billing
  • Medical Billing and Coding Certification
  • Ability to interpret Explanation of Benefits (EOB)
  • HIPPA certification
  • Customer Service Experience preferred
  • Pharmacy Technician experience preferred
What We Offer

Lifelancer offers a dynamic and supportive work environment, opportunities for professional growth and development, and a competitive compensation package.