Job Description
Job DescriptionSummaryThe Claims Processor is responsible for the accurate and timely processing of healthcare claims in accordance with business regulations, internal standards, and established guidelines. This is a full-time, on-site position working Monday–Friday from 8:00 AM–5:00 PM in a professional office environment. Please note: A credit check and background check are required for this position. Schedule: 40 hours per week, Monday - Friday, 8am-5pmPay: $17/hour Key Responsibilities
- Research and process claims in compliance with regulatory requirements and internal policies
- Verify procedure and diagnosis coding accuracy
- Resolve system edits, audits, and claim errors through research and approved reference tools
- Coordinate with internal departments to address edits and deferrals
- Update and maintain patient, provider, and insurance information as needed
- Ensure accuracy, consistency, and timeliness throughout the claims process
Required Qualifications
- High School Diploma or equivalent
- Strong analytical, organizational, and customer service skills
- Clear written and verbal communication skills
- Proficient spelling, grammar, and punctuation
- Good judgment and attention to detail
- Basic business math skills
- Ability to use standard office equipment
Preferred Qualifications
- One year of experience in a healthcare or insurance environment
- Ability to perform complex mathematical calculations
- Proficiency in word processing, spreadsheet, and database applications
TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.