Remote Claims Analyst

Freddie Mac; Houston (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company seeks a Claims Processor to adjudicate medical claims in a fully remote setup. Candidates should have at least 1-3 years of relevant experience and proficiency in medical coding. The role offers flexibility, a comprehensive benefits package, and opportunities for professional growth.

Benefits

Comprehensive benefits package

401(k) plan with employer match

Paid parental leave

Employee Assistance Program (EAP)

Qualifications

• Minimum 1-3 years of claims processing experience.
• Knowledge of CPT and ICD coding.
• Effective written and oral communication skills.

Responsibilities

• Adjudicate medical healthcare claims during the auto-adjudication process.
• Maintain daily production requirements and quality scores.
• Complete weekly pre-adjudication audit reports.

Skills

Claims processing experience

CPT and ICD coding knowledge

Communication skills

Microsoft Office proficiency

Education

None specified

Job description

Employer Industry: Healthcare

Why consider this job opportunity:
- Salary up to $23.57 per hour
- Fully remote work environment, offering flexibility and work-life balance
- Comprehensive benefits package including Medical, Dental, and Vision plans
- 401(k) plan with a 3% employer match to your contribution
- Opportunities for professional growth and development
- Paid parental leave and Employee Assistance Program (EAP) for added support

What to Expect (Job Responsibilities):
- Adjudicate medical healthcare claims that require high-level review during the auto-adjudication process
- Maintain daily production requirements and meet federal prompt pay turnaround times
- Achieve a quality score greater than 95% in claims processing
- Complete weekly pre-adjudication audit reports for payment accuracy
- Communicate system issues to the manager for further investigation and ticket entry

What is Required (Qualifications):
- Minimum 1-3 years of claims processing experience from both payer and provider sides
- Knowledge of CPT and ICD coding
- Ability to work independently and prioritize tasks to meet deadlines
- Intermediate to advanced proficiency in Microsoft Office products (Excel, Word, Access)
- Effective written and oral communication skills

How to Stand Out (Preferred Qualifications):
- Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar certifications
- Prior claims processing experience within Eldorado HealthPac Claims Adjudication System

#Healthcare #ClaimsProcessing #RemoteWork #CareerGrowth #EmployeeBenefits

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