Medical Claims Specialist
4 days ago
About PayerFusion: We are a leading third-party administrator providing innovative solutions for the healthcare industry. Our commitment to excellence has earned us a reputation as a trusted partner for clients seeking top talent.
We are currently seeking an experienced Medical Claims Specialist to join our team. This is an in-person on-site role requiring strong knowledge of commercial health insurance policies.
Key Responsibilities:
- Process medical and dental claims accurately and efficiently.
- Ensure data entry is accurate and complete.
- Analyze policy coverage and assess documentation for member reimbursement.
- Communicate effectively with members and providers through verbal and written skills.
Requirements:
- Proven experience in medical claims processing and adjudication.
- Self-motivated, responsible, and driven by a desire for advancement.
- Proficient in Microsoft Outlook, Excel, and Teams.
- Excellent English written and verbal skills.
Benefits:
- Competitive salary range: $60,000 - $80,000 per year.
- 12 paid holidays.
- Paid time off.
- 401K plan.
Perks:
- Free parking.
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