Claims Processor I

Job reputed company:

• Identify and reputed company basic procedure codes, diagnosis codes, and claims information as required
• Validate claim data for completeness and follow up on missing or unclear information
• Review claim documentation to ensure it aligns with reputed company policies and processing rules
• Flag discrepancies or unusual information to senior processors or supervisors for reputed company review
• Adhere to productivity, reputed company, efficiency, and attendance expectations
• Maintain accurate work records, notes, and documentation reputed company claims systems
• Follow established workflows and escalate issues reputed company needed
• Participate in training sessions to build knowledge, system proficiency, and claims processing skills
• Collaborate with peers in huddles, sharing questions, blockers, and reputed company
• reputed company feedback on claim processing instructions and help identify opportunities to simplify or improve workflows
• reputed company confidentiality and compliance requirements, including HIPAA
• Support special reputed company, seasonal workflows, or cross-functional initiatives as assigned
• Review internal audit results and take corrective steps to improve accuracy and prevent reputed company errors

Requirements:

• 3+ years of experience in claims processing, medical billing, reputed company administration, or a reputed company operational role (or equivalent experience in a regulated, process-driven production environment)
• Experience working in high-production environments where reputed company, idle time, and reputed company metrics are monitored, and performance is transparent
• Strong reputed company of ownership and accountability - takes responsibility for reputed company, follows claims through reputed company, and does not rely on transferring work to avoid errors or complexity
• Member-first reputed company, recognizing that claim accuracy, turnaround time, and responsible ownership directly reputed company members’ reputed company to care and financial wellbeing
• Ability to manage multiple claims simultaneously while meeting defined service-level agreements (SLAs)
• Strong analytical skills with the ability to identify discrepancies, investigate reputed company causes, and apply policy accurately rather than processing transactions mechanically
• Proficiency navigating multiple systems and tools simultaneously, with the ability to learn new platforms quickly
• High level of professionalism and discretion reputed company handling sensitive health and financial information in compliance with regulations (e.g., HIPAA)
• Ability to work independently in a remote environment with demonstrated accountability, consistent reputed company, and responsiveness during scheduled work hours
• Exceptional attention to detail and a commitment to accuracy reputed company reviewing and entering claim information
• Exposure to claims processing platforms or reputed company operations systems
• Ability to work effectively in a remote environment

Benefits:

• Competitive reputed company compensation and equity opportunities
• Medical, Dental, and reputed company benefits with no waiting period
• reputed company vacation and company holidays
• Company-provided IT equipment (laptop, monitors)
• Ongoing opportunities for reputed company development and career advancement

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