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Medical Claims Processor

El Paso, TX

Medical Claims Processor

Company Overview: Our Managed Care Facility is a reputable healthcare services provider committed to delivering excellence in patient care. We are currently seeking a detail-oriented and experienced Medical Claims Processor to join our team. If you have a strong background in healthcare claims processing and enjoy working in a dynamic environment, we invite you to apply for this exciting opportunity.

Position: Medical Claims Processor

Location: Remote

Job Type: Full-Time


  1. Claims Verification:

    • Review and verify medical claims for accuracy and completeness.
    • Ensure that all necessary documentation is attached to support the claims.
  2. Data Entry:

    • Accurately input claim information into the designated database or claims processing system.
    • Update and maintain electronic records of claims.
  3. Adjudication:

    • Evaluate claims against established policies and procedures.
    • Determine the eligibility of claims for payment and process accordingly.
  4. Communication:

    • Communicate with healthcare providers and insurance companies to gather additional information when needed.
    • Address inquiries and resolve issues related to claims.
  5. Coding:

    • Assign appropriate medical codes to claims for billing purposes.
    • Ensure compliance with coding standards and guidelines.
  6. Quality Assurance:

    • Conduct quality checks on processed claims to minimize errors and discrepancies.
    • Collaborate with the quality assurance team to enhance process efficiency.


  • Previous experience as a Medical Claims Processor or in a similar role.
  • Experience with Medicare/Medicaid
  • Knowledge of medical coding, billing, and claims processing procedures.
  • Proficiency in using claims processing software and databases.
  • Detail-oriented with strong analytical and problem-solving skills.
  • Excellent communication and interpersonal abilities.
  • Preference to candidates in El Paso, TX


  • Competitive salary.
  • Comprehensive health and wellness benefits.
  • Opportunities for professional development and advancement.
  • Collaborative and inclusive work environment.


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