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Overview:
- HealthEdge is a healthcare technology company focused on modernizing health insurance operations.
- This role is part of the Claims team and supports accurate claims adjudication.
Responsibilities:
- Process assigned claims based on client-specified guidelines and team leadership direction.
- Review adjudication system edits to determine claim and line item payments.
- Participate in special projects and mentor junior team members.
Qualifications:
- High School degree and 1-3 years of healthcare claims processing experience.
- Solid understanding of claim data, CPT, HCPCS, and ICD-10 coding.
- Strong work ethic, adaptability, and teamwork skills.
Work Environment:
- Remote-based role within the US, with occasional travel dependent on company needs.
- Work across multiple time zones in a remote environment.
HealthEdge
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them modernize operations and compete effectively. The company is expanding and investing in its people, fostering a collaborative and growth-oriented culture.