Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive pay up to $38.08 per hour
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Comprehensive benefits package, including equity stock purchase and 401k contribution
- Clear direction and development opportunities for other roles
- Incentive and recognition programs

What to Expect (Job Responsibilities):
- Review, process, and identify medical claims based on standard operating procedures
- Apply appropriate processes and procedures to process claims
- Review and apply member benefit plans and provider contracts
- Examine each claim for appropriate coding of CPT and ICD codes
- Adjudicate complex medical provider-initiated claims

What is Required (Qualifications):
- 2+ years of experience working in a fast-paced, high volume environment processing 50+ claims per day
- 2+ years of experience in a metric-based environment
- 1+ years of experience processing medical, dental, prescription, or mental health claims
- Proficiency with Microsoft Office Suite
- Ability to navigate and learn new and complex computer system applications

How to Stand Out (Preferred Qualifications):
- Proven exceptional ability to organize, prioritize, and communicate effectively

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