Claims Processor

Community Health Systems, Inc.; Fort Wayne (IN); On-site; USD 35,000 - 55,000; Full time

Job summary

Community Health Systems, Inc. seeks a Claims Processor to accurately process healthcare claims for third-party payors, ensuring compliance with regulations and payer policies.

The role supports revenue cycle by resolving claim errors, submitting adjustments, and facilitating timely reimbursements. The ideal candidate has 1–2 years of medical claims processing or healthcare billing experience, with knowledge of third-party billing procedures and strong attention to detail.

Qualifications

• 1–2 years of experience in medical claims processing or healthcare billing preferred.
• Knowledge of third-party billing procedures and healthcare claims processing.
• Familiarity with electronic claim submission systems and billing software.

Responsibilities

• Reviews claims for completeness, accuracy, and regulatory compliance.
• Submits claims to third-party payors electronically and manually within established timelines.
• Tracks and documents all claim-related activity in billing systems.
• Prepares and processes account adjustment requests per departmental policies.
• Composes and submits SSRs or internal forms to facilitate claim resolution.
• Contacts insurance payors to resolve denials or discrepancies with timely follow-up.
• Maintains regular attendance and adheres to company policies.

Skills

Billing procedures

Healthcare claims

Attention to detail

Communication skills

Time management

Data entry

Education

Associate Degree in Accounting, Business, or related area

Job description

Job Summary

The Claims Processor is responsible for accurately and efficiently processing healthcare claims submitted to third-party payors. This role ensures that claims are reviewed, submitted, and followed up on in accordance with regulatory requirements, payer policies, and organizational standards. The Claims Processor supports the revenue cycle process by identifying and resolving claim errors, submitting adjustments, and communicating with insurance payors to facilitate timely reimbursement.

Essential Functions

• Reviews claims for completeness, accuracy, and compliance with legal, regulatory, and payer-specific requirements.
• Submits claims to third-party payors through manual and electronic processes in accordance with established timelines.
• Tracks and documents all claim-related activity in the appropriate systems following standard workflow procedures.
• Prepares and processes account adjustment requests in accordance with departmental policies and guidelines.
• Composes and submits Service Support Requests (SSRs) or other internal forms to facilitate claim resolution.
• Contacts insurance payors to resolve claim rejections, denials, or discrepancies, ensuring timely follow-up and correction.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Associate Degree Accounting, Business or related area of study preferred
• 1-2 years of experience in medical claims processing or healthcare billing preferred

Knowledge, Skills and Abilities

• Knowledge of third-party billing procedures and healthcare claims processing.
• Familiarity with electronic claim submission systems and billing software.
• Strong attention to detail and accuracy.
• Effective verbal and written communication skills.
• Ability to prioritize tasks and manage time in a fast-paced environment.
• Proficiency in data entry and navigating billing or healthcare management systems.

Job Info

• Job Identification 168940
• Job Category Finance and Accounting
• Posting Date 11/04/2026, 08:59 PM
• Degree Level No Formal Education
• Job Schedule Full time
• Job Shift Day
• Locations 7950 W Jefferson Blvd, Fort Wayne, IN, 46804, US