Remote Claims Examiner II – Adjudication & QA

First Choice Health; Seattle (WA); Remote; USD 40,000 - 50,000; Full time

Benefits offered by this job

Health and insurance plans

401(k) with employer match

Paid Time Off (PTO)

Employee Assistance Program

Job summary

A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal candidate should have a High School Diploma and 1–2 years of claims processing experience. This role offers competitive benefits including health insurance, a 401(k) plan, and flexible working arrangements.

Qualifications

• 1–2 years current claims processing experience is required.
• Familiarity with CPT, ICD-10, & HCPCS coding systems is preferred.
• Basic computer and word processing skills are necessary.

Responsibilities

• Process various types of claims including Institutional and Professional.
• Review and resolve claims according to contracts and policies.
• Maintain productivity and quality standards in claims adjudication.

Skills

Claims processing experience

Basic computer skills

CPT, ICD-10, & HCPCS proficiency

Education

High School Diploma or equivalent

Tools

Google Workspace

Job description

A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal candidate should have a High School Diploma and 1–2 years of claims processing experience. This role offers competitive benefits including health insurance, a 401(k) plan, and flexible working arrangements.