Remote Claims Adjudicator

Highmark Health; Fulton (MS); Teletrabalho; USD 27 000 - 33 000; Tempo integral

Resumo da oferta

Highmark Health is seeking a Claims Review Specialist to screen, review, and adjudicate online and paper claims. You will verify data, determine pay/deny decisions, and resolve inquiries with attention to accuracy and timeliness.

Responsibilities include processing claims, reviewing edits, applying benefit rules, and maintaining documentation. Remote position with potential training and professional growth within the organization.

Qualificações

• High School Diploma or GED required.
• 1 year claim billing or processing experience preferred.

Responsabilidades

• Process and verify claims data.
• Determine benefit eligibility and final payment.
• Communicate with customers professionally.
• Meet production and quality standards.
• Other duties as assigned.

Conhecimentos

Communication skills

Multisystem navigation

Data entry

Claims processing

Problem solving

HIPAA compliance

Formação académica

High School Diploma/GED

Descrição da oferta de emprego

Highmark Health is seeking a Claims Review Specialist to screen, review, and adjudicate online and paper claims. You will verify data, determine pay/deny decisions, and resolve inquiries with attention to accuracy and timeliness.

Responsibilities include processing claims, reviewing edits, applying benefit rules, and maintaining documentation. Remote position with potential training and professional growth within the organization.