Experienced Healthcare Claims Processor - Remote

Overview

Join the Karna Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In this role, you will leverage your meticulous attention to detail and commitment to accuracy in processing complex medical claims.

In Short

• Analyze and process complex medical claims.
• Ensure accuracy and compliance with program policies.
• Resolve claim discrepancies and issues.
• Maintain confidentiality of patient records.
• Participate in audits and compliance reviews.
• Mentor and train new claims processors.
• Monitor trends in claim issues.
• Utilize critical thinking for problem-solving.
• Work collaboratively within a team.
• Commit to ongoing education and training.

Requirements

• High school diploma or equivalent.
• Minimum of 5 years’ experience in medical claims processing.
• Familiarity with ICD-10, CPT, and HCPCS coding systems.
• Strong attention to detail and accuracy.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office Suite.
• Ability to work independently and collaboratively.
• Experience with claim denial resolution.
• Customer service-oriented with strong problem-solving capabilities.
• Flexible and adaptable to client needs.

Benefits

• Opportunity to make a positive impact in the community.
• Work in a dedicated team environment.
• Engage in ongoing education and training.