Remote Medical Claims Specialist

Sagility; United States; Remote; USD 35,000 - 45,000; Full time

Benefits offered by this job

Medical, Dental, and Vision coverage

401(k) with employer contribution

Paid Time Off (PTO)

Job summary

Local First Arizona is looking for a Claims Processor to join our remote team. You will handle the submission, review, and resolution of medical claims, ensuring accuracy and compliance with policies.

The ideal candidate has at least one year of relevant experience and familiarity with medical coding and claim forms. Strong communication skills and proficiency in Microsoft applications are essential. This position offers a starting pay of $17 per hour with various benefits including medical coverage and a 401(k).

Qualifications

• Minimum of one year of recent experience processing medical claims.
• Familiarity with medical claim forms, including CMS-1500 and UB-04.
• Working knowledge of coding systems: ICD-10, HCPCS, and CPT.

Responsibilities

• Review medical claims to ensure no missing or incomplete information.
• Navigate systems to research and process claims accurately.
• Determine if claims should be paid or denied, and complete denial letters.

Skills

Medical claims processing experience

Familiarity with CMS-1500 and UB-04 forms

Knowledge of ICD-10, HCPCS, and CPT coding systems

Proficient in Microsoft Windows and Excel

Strong verbal and written communication skills

Ability to focus in a high-volume environment

Education

High School Diploma or equivalent

Tools

Web-based tools and platforms

Job description

Local First Arizona is looking for a Claims Processor to join our remote team. You will handle the submission, review, and resolution of medical claims, ensuring accuracy and compliance with policies.

The ideal candidate has at least one year of relevant experience and familiarity with medical coding and claim forms. Strong communication skills and proficiency in Microsoft applications are essential. This position offers a starting pay of $17 per hour with various benefits including medical coverage and a 401(k).