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Medical Claims Analyst

Company: VirtualVocations
Location: Vista
Posted on: May 7, 2025

Job Description:

A company is looking for a Medical Claims Analyst responsible for the accurate adjudication and processing of medical claims.
Key Responsibilities

Review, analyze, and interpret claim forms and related documents
Determine benefit coverage based on clinical edits and plan documents
Communicate with employees, providers, and clients to ensure proper claim processing

Required Qualifications

High School diploma or GED equivalent
Ability to work in a fast-paced, customer-centric environment
Ability to learn new systems and effectively use MS Excel/Word
Available to work Mon-Fri between 7:00 am to 5:00 pm EST
1 year of Health Insurance experience preferred

Keywords: VirtualVocations, Pomona , Medical Claims Analyst, Healthcare , Vista, California

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