Remote Claims Examiner II – Adjudication & Mentoring

HealthEdge; United States; Remote; USD 42,000 - 65,000; Full time

Job summary

HealthEdge, a healthcare technology company modernizing health insurance operations, is seeking a Claims Processor for its remote US team.

You will process assigned claims per client guidelines, review adjudication edits, and support a few special projects while mentoring junior team members. The role requires 1–3 years in healthcare claims processing and solid CPT/HCPCS/ICD-10 knowledge.

Qualifications

• High School diploma with 1–3 years in healthcare claims processing.
• Solid understanding of claim data and CPT/HCPCS/ICD-10 coding.
• Strong work ethic, adaptability, and teamwork.

Responsibilities

• Process assigned claims based on client-specified guidelines and team leadership direction.
• Review adjudication system edits to determine claim and line item payments.
• Participate in special projects and mentor junior team members.

Skills

Claims processing

CPT/HCPCS coding

Adaptability

Teamwork

Education

High School diploma

Job description

HealthEdge, a healthcare technology company modernizing health insurance operations, is seeking a Claims Processor for its remote US team.

You will process assigned claims per client guidelines, review adjudication edits, and support a few special projects while mentoring junior team members. The role requires 1–3 years in healthcare claims processing and solid CPT/HCPCS/ICD-10 knowledge.