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 Apply tot his job Apply To this Job