Key Responsibilities:
- Review internal and client systems, claim documentation, and relevant information to determine eligibility and appropriate payment methodologies.
- Analyze contractual terms, guidelines, and client-specific requirements to identify accurate claim repricing approaches.
- Apply established payment rules and client requirements consistently while maintaining high standards of accuracy.
Requirements:
- High school diploma or GED required; Associate’s or Bachelor’s degree in Business, Healthcare Administration, Finance preferred.
- At least one year of professional experience, ideally in healthcare, insurance, or claims processing.
- Strong analytical and problem-solving abilities with exceptional attention to detail.
Benefits:
- Base compensation of $19.00–$22.75 per hour with eligibility for overtime pay.
- Medical, dental, vision, disability, life insurance, 401(k), paid family leave, and 9 paid holidays.
- 17–27 days of PTO annually and fully remote work opportunity within the United States.
Partner Company
The company provides healthcare claims review and repricing services. It operates remotely with a focus on compliance, accuracy, and continuous improvement.