Claims Processor

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Claims Processor, you will review and process healthcare claims to ensure they are accurate, complete, and submitted according to payer requirements. You will work closely with billing and coding teams to identify discrepancies, resolve routine issues, and help ensure claims are processed efficiently and accurately. WHAT YOU WILL DO Review and process healthcare claims in accordance with payer requirements and established procedures Verify claim information for accuracy, completeness, and consistency before submission Apply payer-specific requirements and billing guidelines accurately and consistently Identify claims requiring additional documentation, correction, or review and escalate as appropriate Resolve routine claim discrepancies and errors within established guidelines Work with billing and coding teams to investigate and resolve claim-related issues Maintain accurate records of processed claims and follow established documentation procedures Meet productivity and quality standards while maintaining a high level of accu…