Remote Medical Claims Specialist

United States Digital Space LLC; United States; Remote; USD 35,000 - 55,000; Full time

Job summary

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Claims Processor, you will review and process healthcare claims to ensure they are accurate, complete, and submitted according to payer requirements.

You will collaborate with billing and coding teams, identify discrepancies, and help ensure claims are processed efficiently and accurately in a fully remote capacity.

Qualifications

• 1+ year of experience in medical claims processing or related revenue cycle role.
• Familiar with CMS-1500 and UB-04 forms.
• Ability to work in HIPAA-compliant remote environment.

Responsibilities

• Review and process healthcare claims per payer requirements.
• Verify claim information for accuracy and completeness.
• Apply payer-specific billing guidelines consistently.
• Identify claims needing additional documentation or review.
• Resolve routine discrepancies and errors following guidelines.
• Collaborate with billing and coding teams to resolve claim issues.
• Maintain accurate processed-claims records and documentation.
• Meet productivity and quality standards with high accuracy.

Skills

Attention to detail

Communication skills

Problem solving

HIPAA compliance

Claims processing system

Job description

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Claims Processor, you will review and process healthcare claims to ensure they are accurate, complete, and submitted according to payer requirements.

You will collaborate with billing and coding teams, identify discrepancies, and help ensure claims are processed efficiently and accurately in a fully remote capacity.