Remote Claims Processor | Fast, Accurate Adjudication

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

Job summary

Highmark Health is seeking a remote claims processor to screen, review, and adjudicate claims in accordance with company policies. You will verify data, determine eligibility, and resolve issues while coordinating with customers to ensure timely and accurate payments.

The role requires a High School Diploma or GED and preferred experience in claim billing or processing. Candidates should have strong communication skills and the ability to navigate multiple systems while upholding privacy and

Qualifications

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

Responsibilities

• Receives and processes claims data; ensures completeness and correctness.
• Determines benefit eligibility and final payment after reviewing service claims.
• Escalates issues to supervisor as appropriate and maintains professional communication with customers.
• Meets production and quality standards and maintains accurate timekeeping and records.
• Performs other duties as assigned.

Skills

Strong communication

Data entry accuracy

Multi-system navigation

Claims processing knowledge

Problem solving

Education

High School Diploma/GED

Job description

Highmark Health is seeking a remote claims processor to screen, review, and adjudicate claims in accordance with company policies. You will verify data, determine eligibility, and resolve issues while coordinating with customers to ensure timely and accurate payments.

The role requires a High School Diploma or GED and preferred experience in claim billing or processing. Candidates should have strong communication skills and the ability to navigate multiple systems while upholding privacy and