Medical Claims Processing Representative

Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025

Job Description:

A company is looking for a Patient Support Medical Claims Processing Representative.
Key Responsibilities:

Receive and vet medical claims from healthcare providers or patients against program-specific business rules
Ensure adequate supporting documentation is provided and interpret Explanation of Benefits (EOB) and CMS1500 forms
Provide customer support through various communication channels as needed

Required Qualifications:

High School Diploma or equivalent
Experience in claim processing is required
Medical Billing Certification is required
Coding Certification is required
HIPAA certification is necessary

Keywords: VirtualVocations, Lake Forest , Medical Claims Processing Representative, Healthcare , Vista, California

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