Remote Claims Adjudicator

Highmark Health; Montana; Remote; USD 27,000 - 33,000; Full time

Job summary

Highmark Inc. is seeking a claims processing specialist to screen, review, and adjudicate claims. You will determine eligibility, correct errors, and finalize payments while coordinating with customers and internal teams. The role supports HIPAA compliance and requires strong data accuracy.

The position is remote with a focus on timely, quality work and adherence to company policies. Prior billing experience and excellent communication are valued.

Qualifications

• High School Diploma or GED required.
• 1 year claim billing or processing experience preferred.
• Strong communication and accuracy in data entry.
• Ability to navigate multiple systems.

Responsibilities

• Enter and verify claims data; ensure information is complete.
• Determine benefit eligibility and final payment.
• Coordinate with customers and internal teams; escalate as needed.
• Meet production and quality standards; maintain records and timekeeping.
• Support other duties as assigned.

Skills

Communication

Multisystem navigation

Claims processing

Problem solving

Data review

Time management

Attention to detail

Education

HS Diploma/GED

Job description

Highmark Inc. is seeking a claims processing specialist to screen, review, and adjudicate claims. You will determine eligibility, correct errors, and finalize payments while coordinating with customers and internal teams. The role supports HIPAA compliance and requires strong data accuracy.

The position is remote with a focus on timely, quality work and adherence to company policies. Prior billing experience and excellent communication are valued.