This position is responsible for processing medical insurance claims accurately and in a timely manner to ensure State regulations are met. Consistently meet established productivity and quality standards.
High School diploma or equivalent
2-3 years' experience in a medical claims processing environment.
Must be extremely detail-oriented, precise, and thorough.
Extensive knowledge of medical claim processing procedures and guidelines.
Ability to work independently while providing support to a team environment.
Knowledge of medical benefits and medical terminology.
Must have strong organizational skills, problem solving, and decision making skills.
Knowledge of claim adjudication and benefit plan application for Texas Medicaid.
Able to process adjustments as needed.
Knowledge of Microsoft Office Skills including Word, and Excel.