Job Description:

• Process incoming Medicaid claims in accordance with policies, procedures and guidelines
• Verify presence of all required data fields and that applicable medical records are included/reviewed (where required)
• Refer claims for medical claim review as necessary/applicable
• Work effectively in a virtual, work-from-home, telecommute position processing claims

Basic Qualifications:

• 2+ years of recent Health Insurance Claims Processing experience
• Ability to maintain balanced performance in areas of production and quality
• Ability to maintain confidentiality and project a professional business image
• Good attitude and ability work independently from home, as well as with a team

Preferred Qualifications:

• Prior experience processing Medicaid claims highly preferred, but not required
• Prior work from home experience
• IDX system experience
• AHCCCS system experience
• Citrix, Siebel, HPIS, DataNet, Excel/SharePoint

Education:

• High school or equivalent (Preferred)

Experience:

• Medicaid claims processing: 1 year (Preferred)

Work Location:

• Fully Remote