Health Claims Examiner - Data-Driven Adjudication & Growth

Sutherland Global; Louisville (KY); On-site; USD 15,000 - 22,000; Full time

Benefits offered by this job

Medical benefits

Dental and vision plans

Paid training and PTO

Company-provided equipment

Advancement opportunities

Job summary

Sutherland Global is seeking a Claims Examiner to process insurance claims through data entry, adjudicate claims per client guidelines, and maintain privacy and accuracy. The role focuses on throughput, quality, and adherence to policy and regulatory standards.

The position offers weekday hours, full-time status, and potential for performance bonuses in a healthcare setting, with company-provided equipment and ongoing training opportunities.

Qualifications

• Fast and accurate data entry capabilities.
• Strong time management to handle workflow.
• Excellent attention to detail and analytical thinking.
• Effective verbal and written communication.

Responsibilities

• Process claims via data entry for most of the day.
• Adjudicate claims to meet production and quality metrics.
• Follow up on claims needing additional information.
• Refer problem claims to Lead/auditor for review.
• Ensure information integrity and HIPAA compliance.
• Work with specific software as required.
• May be assigned special projects.

Skills

Data entry

Time management

Attention to detail

Analytical

Education

High School Diploma or equivalent

Medical Billing and Coding degree/certification

Job description

Sutherland Global is seeking a Claims Examiner to process insurance claims through data entry, adjudicate claims per client guidelines, and maintain privacy and accuracy. The role focuses on throughput, quality, and adherence to policy and regulatory standards.

The position offers weekday hours, full-time status, and potential for performance bonuses in a healthcare setting, with company-provided equipment and ongoing training opportunities.