Claims Processor I

About the Role:

• Accurately review, validate, and enter medical claims information according to Sidecar Health policies.
• Ensure claim completeness, identify discrepancies, and escalate complex cases.
• Maintain high standards for productivity, quality, and compliance.

Job Responsibilities:

• Identify and enter procedure codes, diagnosis codes, and claims information.
• Validate claim data and follow up on missing or unclear information.
• Review documentation to ensure alignment with policies and processing rules.

Requirements:

• 3+ years of experience in claims processing, medical billing, or healthcare administration.
• Experience in high-production environments with monitored metrics.
• Strong analytical skills and ability to manage multiple claims simultaneously.

What Success Looks Like:

• Consistently meets productivity, quality, and turnaround standards.
• Maintains high accuracy with minimal rework.
• Takes full ownership of work through resolution and contributes to workflow improvements.