Claims Process Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for a Claims Process Specialist
(remote).
Key Responsibilities
Review and process claim submissions according to guidelines,
ensuring compliance with regulations
Determine payment approvals, pending claims, or denials based on
coverage guidelines
Maintain customer relations by addressing claims issues and
updating claim information as needed
Required Qualifications
High School diploma or GED required
Minimum of two to three years of Medicaid and/or Commercial claims
processing experience
Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS, ASA,
and UB92 Codes
Proficient in Microsoft Office applications and experience
navigating multiple systems
Ability to work remotely in a secure environment with high-speed
internet access
Keywords: VirtualVocations, San Diego , Claims Process Specialist, Other , Vista, California
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