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Medical Claims Processor

TotalMed Detroit, MI
  • Expired: over a month ago. Applications are no longer accepted.

As a Medical Claims Processor, you will be responsible for:

Reviewing and processing medical claims accurately and thoroughly according to the benefits and eligibility guidelines.
Pay, pend or deny based on established claims processing criteria.
Request additional information as needed.
Refer claims to supervisor for review. .
Refer to internal administrative processing guidelines as a resource when processing.
Work Inbox daily to ensure claims issues are handled timely.
Special projects as assigned.


Ability to juggle and prioritize workloads, have strong analytical skills and demonstrate an understanding of the importance of accurate and timely work.

Excellent interpersonal and communication skills both written and verbal, demonstrated by the ability to: listen to and empathize with others and convey confidence.

Service Minded.
You deliver customer support like you expect to receive it; with excellence.

Strong attention to detail with excellent problem solving skills.

Technically Savvy.
Intermediate proficiency in Excel and Word, and ability to learn, understand and use multiple computer applications

One year medical claims processing experience. Understand benefits and eligibility


Why Work Here?

We are an award-winning medical staffing agency delivering flexible healthcare staffing solutions.

About TotalMed: In the rapidly-changing, highly regulated industry that is healthcare, you need a medical staffing partner who works for you. Enter TotalMed. We’re an award-winning medical staffing agency delivering flexible healthcare staffing solutions no matter how complex your needs. But even more than that, we’re a team who really cares. Our end goal is to achieve quality patient care while enhancing your employee morale. If you’re a healthcare professional in either clinical or non-clinical healthcare, our recruiters can help you navigate the sea of healthcare jobs, uncovering your ideal career path. Or, if you’re faced with open positions and short-staffed projects in either business care or patient care, TotalMed can provide customized medical staffing solutions to fulfill your hiring requirements.


Detroit, MI
48226 USA