Medical Claims Processor

DRSM PACA-CORSE is seeking a dedicated Medical Claims Processor to join our team in Carpentras.

In this role, you will play a vital part in ensuring the accurate and efficient processing of healthcare claims for our insured members. You will work closely with medical advisors and other stakeholders to provide exceptional support and guidance throughout the claims process.

Your Responsibilities:

• Manage and process patient files, including conducting outbound calls to patients and welcoming them in person when they visit our office.
• Assist medical advisors in reviewing and processing benefit requests. This involves analyzing patient information, preparing documentation for medical decision-making, and coordinating with various departments involved in the claims process.
• Handle correspondence, patient summons, and maintain accurate file records.

Your Qualifications:

We are looking for a highly motivated individual with excellent interpersonal skills and a strong commitment to teamwork. You should possess a meticulous attention to detail and the ability to adapt to diverse tasks.

A proven track record in administrative support, particularly within the healthcare industry, is preferred. Familiarity with medical terminology would be an asset.

Technical Skills:

• Proficiency in Microsoft Office Suite (Word and Excel)
• Strong telephone communication skills
• Ability to manage appointment scheduling and prepare documentation for decision-making processes

Education:

A Bachelor's degree or equivalent experience in administrative assistance is required.