Remote Healthcare Claims Analyst (Junior)

J29, Inc; Millersville (MD); Remote; USD 42,000 - 62,000; Full time

Job summary

J29, Inc. is seeking a Junior Healthcare Claims Analyst/Adjudicator to support our claims operations. This remotely based role is ideal for an entry-level candidate learning to review and process healthcare claims per established rules and standards.

You will verify eligibility, apply processing guidelines, and escalate complex cases to seniors while maintaining accuracy and timely processing in a structured production environment.

Qualifications

• Entry-level to early-career claims processing role.
• Ability to follow procedures, rules, and quality standards.
• Strong attention to detail and accurate data entry.
• Able to work independently in a remote, structured environment.
• Basic understanding of the healthcare claims lifecycle.

Responsibilities

• Review professional and institutional claims for completeness and accuracy.
• Verify member eligibility, dates of service, and provider information.
• Apply benefit rules and processing instructions to adjudicate claims.
• Process routine claims, adjustments, denials, and rejections within training.
• Escalate complex claims to senior analysts as needed.
• Document claim actions and research in the system.

Skills

Attention to detail

Written communication

Time management

Independent work

Remote work readiness

Education

High school diploma or equivalent

Associate degree or coursework in healthcare/administration

Tools

Microsoft Excel

Microsoft Word

Microsoft Teams

Microsoft Outlook

Job description

J29, Inc. is seeking a Junior Healthcare Claims Analyst/Adjudicator to support our claims operations. This remotely based role is ideal for an entry-level candidate learning to review and process healthcare claims per established rules and standards.

You will verify eligibility, apply processing guidelines, and escalate complex cases to seniors while maintaining accuracy and timely processing in a structured production environment.