Fast-Paced Claims Entry & Tier 1 Adjudicator

PangeaTwo; Birmingham (AL); On-site; USD 22,000 - 30,000; Full time

Job summary

PangeaTwo in Birmingham, AL is seeking a detail-oriented Claims Entry & Adjudicator to join a fast-paced operations team. The role focuses on processing claim batches and Tier 1 adjudication with accuracy in a production environment.

Candidates should have data entry experience on the payer side, familiarity with SS&C or DST platforms, and strong numerical skills. This is a temps-to-perm position offering about $19 per hour in downtown Birmingham.

Qualifications

• High School diploma or equivalent.
• Experience in data entry and claims processing on the insurance payer side.
• Familiarity with SS&C or DST platforms.
• Ability to work in a high-volume, metric-driven production environment.
• Knowledge of medical terminology, ICD codes, CPT codes, and HCPCS is a plus.

Responsibilities

• Process incoming claim batches in an orderly first-in, first-out sequence.
• Adjudicate Tier 1 claims efficiently, determining appropriate payments or applying correct denial hold codes.
• Review medical documentation and verify claims against established internal guidelines.
• Meet and maintain rigorous department standards for daily production volume and quality.
• Collaborate with team members to adapt to workflow changes and achieve group operational goals.
• Maintain accurate tracking systems and correct processing errors proactively.

Skills

Data entry

Claims processing

Numerical aptitude

Teamwork

Adaptability

Education

High School diploma or equivalent

Tools

SS&C platforms

DST platforms

Job description

PangeaTwo in Birmingham, AL is seeking a detail-oriented Claims Entry & Adjudicator to join a fast-paced operations team. The role focuses on processing claim batches and Tier 1 adjudication with accuracy in a production environment.

Candidates should have data entry experience on the payer side, familiarity with SS&C or DST platforms, and strong numerical skills. This is a temps-to-perm position offering about $19 per hour in downtown Birmingham.