Medical Claims Processor (Hybrid)

Redirect Health; Phoenix (AZ); Hybrid; USD 27,000 - 34,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Redirect Health is seeking a Medical Claims Processor to ensure accurate and thoughtful claims handling, reducing stress and costs for families. You will work with members, providers, and internal teams to resolve issues, maintain trust, and improve overall processing quality in a hybrid setting.

The role requires 1 year of claims processing experience, strong Excel/Word skills, and timely, professional service.

Qualifications

• 1 year of experience in medical claims processing.
• Proficiency in Microsoft Word, Excel, and EMR systems required.
• Able to meet production and quality standards.

Responsibilities

• Review and process medical claims accurately and timely.
• Answer questions and resolve claim issues for members and providers.
• Collaborate with TPAs, providers, and internal teams to keep workflow moving.
• Improve claims accuracy and turnaround times for a better member experience.
• Advocate for members by ensuring correct and fair handling of claims the first time.

Skills

1 year of claims processing experience

Client-focused service

Tools

Microsoft Word

Microsoft Excel

EMR systems

Job description

Healthcare shouldn’t be something you worry about when taking care of your family.

That’s why when you join Redirect Health, your healthcare costs nothing out of your paycheck—and the same is true for your spouse and children.

• No monthly premiums
• No surprise medical bills

Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans.

This isn’t a perk.
It’s part of our mission.

Who We Are

Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance.

We help real people navigate a system that is often confusing, expensive, and frustrating—and we do it with empathy, accountability, and simplicity.

If you want your work to matter to families every single day, you’ll find purpose here.

How We Work (Our Core Values in Action)

At Redirect Health, our values guide how we show up for each other, our clients, and our members.

We do our best work when we:

• Obsess Over People – We are always helpful, friendly, and human
• Own It to Completion – If we take something on, we see it through
• Always Improve & Adapt – We learn quickly and adjust without ego
• Start with “Yes, We Can Help You” – We lead with solutions
• Succeed as a Team – We win through trust and collaboration
• Detest Waste & Unnecessary Complexity – We simplify to focus on what matters

About This Role

Medical Claims Processor helps ensure claims are handled accurately and thoughtfully, so people can focus on getting the care they need without stress, confusion, or unexpected costs.

In this role, you will:

• Serve members, clients, providers, and internal operations teams who rely on clear, accurate claims processing
• Be responsible for getting claims right, resolving issues, and protecting the trust our members place in us
• Directly impact how supported, confident, and cared for families feel when navigating healthcare

This is a hands-on role for someone who:

• Enjoys detail-oriented work and solving problems that matter to real people
• Takes ownership and follows through
• Wants their work to have real-world impact

What You’ll Do

In this role, you will:

• Own: Making sure medical claims are reviewed and processed accurately, so members aren’t left waiting or wondering what happens next
• Support: Members and providers by answering questions and resolving claim issues with clarity and care
• Collaborate with: Third-Party Administrator (TPA) partners, providers, and internal operations teams to keep things moving smoothly
• Improve: Claims accuracy, turnaround time, and the overall experience for members navigating care
• Advocate for: Members by making sure their claims are handled correctly and fairly the first time

A strong performer in this role is known for:

• Caring about the details because they know those details affect real people
• Staying calm, professional, and helpful when resolving issues or answering questions
• Consistently delivering accurate, timely outcomes that members and teammates can trust

How Success Is Measured

Success in this role is measured by:

• Accurate, high-quality claims processing that minimizes rework and delays
• Consistently meeting production and quality standards
• Timely resolution of claim-related questions and issues
• Strong, respectful collaboration with internal teams and external partners

What We’re Looking For

We’re looking for someone who:

• 1 year of experience in medical claims processing, preferred.
• Proficiency in Microsoft Word, Excel, and Electronic Medical Record (EMR) systems, Required.
• Ability to meet production and quality standards consistently.
• Solid knowledge of Microsoft Excel and Word.
• Professional, client-focused approach to colleagues and assignments.
• This is a hybrid role, 3 days in office required.

Why Join Redirect Health

What “Free Healthcare” Actually Means

When we say free, we mean no money out of your paycheck and no cost when you need care:

• No monthly premiums
• No cost to add your spouse or children
• No deductibles (we reimburse them)
• No out-of-pocket maximums

This benefit alone can save families tens of thousands of dollars.

What You’ll Earn

• Pay Range: $19.26 - $24.99/ Hour
• FREE healthcare for you and your entire family
• Paid time off & sick time
• 401(k) access
• A mission-driven team that believes in doing the right thing

Ready to Make a Difference?

If you’re looking for more than just a job—and want to help reshape how healthcare works for families we’d love to hear from you.

Legal Stuff

Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship.