6 Month contract role
M-F 8-5 EST open to candidates in other time zones
Must have Healthcare industry experience
1+ years previous work experience in any of the following areas: data analytics, provider data, claims processing, broker commissions, eligibility and billing in healthcare
Experience with Google Suite
Pay: 23 per hour some flex based on exp.
Fully remote equipment provided
Responsible for accurately reviewing, processing, and adjudicating health insurance claims in compliance with company policies, contractual agreements, and regulatory requirements. This role ensures timely and accurate claim resolution by verifying eligibility, benefits, and supporting documentation; applying appropriate coding and payment guidelines; and identifying discrepancies or potential issues for follow-up. The role works to resolve claim inquiries, provide clarification on claim status, and support prompt reimbursement.