Fully Remote Healthcare Claims Processor

Digitive; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

Digitive is seeking a Fully Remote Healthcare Claims Processor to manage claims processing and adjudication. The role requires proficiency in computer skills, effective communication, and at least 1-2 years of experience in the field. Join a supportive environment with the opportunity for bonuses and pay increases.

Benefits

Joining bonus of $500 for 6-month retention

Pay rate increase after 6 months

Qualifications

• 1 to 2 years of experience in Claims Adjudication required.
• FACETS and Encoder Pro experience is an advantage.
• Knowledge of CPT, ICD-9 coding guidelines preferred.

Responsibilities

• Process and adjudicate medical claims efficiently and accurately.
• Maintain confidentiality and integrity of medical information.
• Communicate effectively with clients regarding claims and appeals.

Skills

Claims Adjudication

Medicare Claims

Medicaid Claims

Commercial Claims

Proficiency in computer skills

Verbal communication skills

Written communication skills

Confidentiality of medical information

Knowledge of CPT data entry

Job description

Fully Remote Healthcare Claims Processor

Be among the first 25 applicants

This range is provided by Digitive. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$15.40/hr

Job Title

Fully Remote Healthcare Claims Processor

Location

Remote

Benefits

• Joining bonus of $500 for reps who stay for 6 months (subject to payment in the 7th month, for reps available at that time).
• Pay rate increase from the 7th month for all reps who complete 6 months.

Job Responsibilities

Seeking candidates with 1 to 2 years of experience in Claims Adjudication. The ideal candidate will have a good understanding of Medicare, Medicaid Claims, Appeals and Grievances, and Commercial Claims. This is a work-from-home position with no travel requirements. Proficiency in computer skills, including typing speed and accuracy, is required. Good written and verbal communication skills are essential. Must maintain high levels of integrity and confidentiality of medical information.

Top Skills

• At least 2 years of experience in the medical field, through work or volunteer roles.
• FACETS experience is an advantage.
• Experience with medical coding guidelines and procedures such as ICD-9, CPT, ARG, and ASA.
• Experience in Encoder Pro is an advantage.
• Experience in clinical services search programs and health records is an advantage.
• Strong understanding of Claims, Appeals, and Medical Benefits.
• Proficiency in computer skills, including typing speed and accuracy.
• Good written and verbal communication skills.
• Ability to maintain confidentiality of medical information.
• Knowledge of CPT data entry and transcription.

Additional Information

• Seniority level: Executive
• Employment type: Contract
• Job function: Healthcare Provider
• Industries: Hospitals and Healthcare