Remote Claims Adjudication Specialist

Highmark Health; Salem (NH); Remote; USD 27,000 - 33,000; Full time

Job summary

Highmark Health is seeking a remote Claims Processor to screen and adjudicate online claims, review processing history, and coordinate with customers to resolve inquiries. You will ensure timely completion of adjustments and maintain accurate records.

The role emphasizes adherence to HIPAA policies and internal procedures. The position supports remote work arrangements and requires attention to detail, strong communication, and ability to work across multiple systems while maintaining high

Qualifications

• High School Diploma/GED
• 1 year claim billing or processing experience

Responsibilities

• Receives and processes claims to include entering/verifying claims data; determines if claim information is complete and correct.

Skills

Verbal communication

Written communication

Multi-system navigation

Clerical procedures

Math for claims

Data review

Problem solving

Education

High School Diploma/GED

Job description

Highmark Health is seeking a remote Claims Processor to screen and adjudicate online claims, review processing history, and coordinate with customers to resolve inquiries. You will ensure timely completion of adjustments and maintain accurate records.

The role emphasizes adherence to HIPAA policies and internal procedures. The position supports remote work arrangements and requires attention to detail, strong communication, and ability to work across multiple systems while maintaining high