Medical Claims Representative

Description
We are looking for a detail-oriented Medical Claims Representative to support healthcare claims operations for a Contract position based in Lincolnwood, Illinois. This role focuses on reviewing medical claim information, coordinating billing-related activities, and helping ensure accurate insurance processing across the claims lifecycle. The ideal candidate is organized, service-minded, and comfortable working in a fast-paced healthcare environment while maintaining accuracy and compliance.


Responsibilities:

• Review incoming medical claims for completeness, accuracy, and alignment with payer requirements before submission or follow-up.

• Manage billing-related claim activity by researching discrepancies, correcting documentation issues, and helping move claims toward resolution.

• Verify medical insurance coverage and eligibility details to support proper claim handling and reduce preventable denials.

• Track claim sta...

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