Claims Processor

· Accurately enter healthcare services and charges into the practice management or billing software.

· Review patient encounter forms or superbills for correct procedure codes (CPT/HCPCS), diagnosis codes (ICD -10), and other relevant information.

· Work closely with the billing and coding teams to ensure accurate charge capture and billing cycles.

· Ensure that all charges are appropriately documented and entered in a timely manner.

· Verify that all patient and insurance information is up to date to minimize claim rejections or delays.

· Maintain knowledge of various health insurance payer requirements and ensure that charges are compliant with each payer’s policies and procedures.

· Submit claims to insurance companies.

· Address and resolve any discrepancies with insurance billing by reviewing patient information, charge details, and insurance policies.

· Maintain detailed records of charge entry activities, ensuring they are well -documented and accessible for auditing and reporting purposes.

· Adhere to all healthcare regulations, including HIPAA, CMS guidelines, and insurance -specific policies.

Requirements

· Bachelor’s degree or equivalent in any discipline (preferably in healthcare, life sciences, or related fields).

· Strong attention to detail and accuracy.

· Good verbal and written communication skills.

· Basic knowledge of medical terminology and insurance processes (training will be provided).

· Familiarity with Microsoft Office (Word, Excel, etc.) and billing software is a plus.

· Ability to learn quickly and adapt to new billing systems and software.

· Strong problem -solving skills and the ability to work independently.

Benefits

· Competitive salary package.

· Health and wellness benefits.

· On -the -job training and professional development opportunities.

· A collaborative and supportive work environment.

· Career growth potential in the healthcare billing and coding field.