Detail-oriented and dedicated, the full-time Claims Production Specialist will support accurate and timely processing, adjustment, recovery, and finalization of medical claims while working remotely from Massachusetts or Connecticut. Key responsibilities Review and finalize medical claims, adjustments, and retractions in accordance with established policies and procedures Investigate pending claims, research discrepancies, and coordinate with claims adjudication partners and vendors to resolve issues Meet productivity and accuracy goals while helping the team deliver consistent, high-quality results Required qualifications 3+ years of experience in healthcare claims administration, medical claims processing, provider billing, or provider payment posting and reconciliation High school diploma or equivalent Knowledge of medical coding and billing methodologies, including CPT-4, ICD-10, UB-04, and HCFA-1500 Familiarity with healthcare regulations and payer requirements, including HIPAA, ACA, CMS, MassHealth, and ERISA Experience with claims processing systems, medical claims editing platforms, or medical pricing tools
Claims Production Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.