- Receives and monitors the completeness and accuracy of claims forms and supporting documentation submitted by healthcare providers. - Enters claim information, such as patient information, provider details, procedure codes, and diagnosis codes, into the company's claims processing system. - Documents relevant information for the eligibility of the claim, determining coverage and benefits, and assessing the validity and medical necessity of the services rendered. - Calculates claim payments based on the approved reimbursement rates, fee schedules, or contracted rates with healthcare providers.

- Accurately enter and update patient data in internal and client-facing systems  - Access and navigate multiple EMR platforms to retrieve, validate, and process patient health information (PHI)  - Ensure data accuracy and consistency while meeting productivity benchmarks  - Maintain strict confidentiality and comply with HIPAA and company privacy policies  - Collaborate with team members to support process improvements and service quality  - Provide courteous, timely, and professional communication with internal and external stakeholders as needed