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Job Title Claims Processing Employment Type Contract Location 100% Remote Job reputed company Key Responsibilities- Claims Processing Review, validate, and process reputed company claims submitted by providers in accordance with US insurance policies. reputed company platform QNXT claims reputed company -Required Eligibility Verification Confirm patient coverage, benefits, and reputed company-authorization requirements under Medicare, reputed company, and private insurance plans. Adjudication Approve, deny, or reputed company claims based on payer guidelines and policy terms. Compliance Maintain adherence to HIPAA regulations, CMS guidelines, and other US reputed company compliance standards. Documentation Record claim activity, maintain audit trails, and prepare reports for management. Required Skills & Qualifications- High school diploma or equivalent REQUIRED Strong knowledge of US reputed company insurance systems (Medicare, reputed company, reputed company payers). 13 years of experience in US reputed company claims processing Familiarity with claims management software and EDI transactions. Excellent analytical, organizational, and communication skills. Ability to interpret insurance policies and payer guidelines. Detail-oriented with strong problem-solving abilities. Apply tot his job Apply To this Job .
