Key Responsibilities:

+ Process a high volume of paper claims daily, including dispute-related submissions and certified mail containing extensive medical documentation

+ Perform pre-logging of claims to ensure accurate intake and tracking

+ Complete data entry with a high degree of accuracy and efficiency

+ Conduct research and validation of claim information to ensure completeness and compliance

+ Review and interpret CMS 1500 and UB-04 forms

+ Cross-reference claims and supporting documentation to ensure proper adjudication

+ Maintain strict adherence to HIPAA guidelines and confidentiality standards

Production Expectations:

+ Process approximately 100 fully vetted and cross-referenced claims per day while maintaining accuracy and quality standards

Qualifications:

+ Previous experience in claims processing or medical billing preferred

+ Strong knowledge of CMS 1500 and UB-04 c...