Remote Medical Claims Specialist: Adjustments & COB

The Resume Database; Portland (OR); On-site; USD 29,342 - 33,007; Full time

Benefits offered by this job

401K- Matching

FSA

Employee Assistance Program

PTO and Company Paid Holidays

Job summary

The Resume Database in Portland, Oregon, is looking for a Claims Processor to handle medical claims adjustments efficiently. The ideal candidate will possess strong analytical skills and at least 6 months of relevant experience in medical claims or customer service. This role offers a competitive pay range of $21.30 to $23.96 per hour, depending on experience.

Your responsibilities include investigating claims, processing adjustments, and assisting customer service inquiries. Benefits include a 401K matching plan, FSA, and paid time off.

Qualifications

• Minimum of 6 months medical claim processing or customer service experience.
• Strong analytical, problem-solving skills with attention to detail.
• Ability to maintain confidentiality and project professionalism.

Responsibilities

• Investigates and processes claim adjustments for medical lines of business.
• Assists in customer service inquiries regarding contractual policies.
• Documents actions as required by internal procedures.

Skills

Medical claim processing

Customer service

Written communication

Verbal communication

Analytical skills

Problem-solving

Organizational abilities

Multitasking

Education

High School diploma or equivalent

Tools

Facets

Word

Excel

Job description

The Resume Database in Portland, Oregon, is looking for a Claims Processor to handle medical claims adjustments efficiently. The ideal candidate will possess strong analytical skills and at least 6 months of relevant experience in medical claims or customer service. This role offers a competitive pay range of $21.30 to $23.96 per hour, depending on experience.

Your responsibilities include investigating claims, processing adjustments, and assisting customer service inquiries. Benefits include a 401K matching plan, FSA, and paid time off.