Claims Processor with Facets

Job Summary

A company is looking for a Claims Processor (with Facets) - Healthcare Remote.

Key Responsibilities

• Review data in the claim processing system against corresponding UB or HCFA information
• Assess medical records to determine the appropriateness of services rendered
• Ensure timely handling of designated tasks to meet internal and external SLAs

Required Qualifications and Education

• A minimum of 2 years of claim processing experience
• Knowledge of medical coding and terminology, including CPT, HCPCS, and ICD-10
• Experience with UB/institutional and/or professional claims processing
• 1 year of experience with Facets
• High School degree or GED or equivalent experience