Senior Claims Examiner (Remote) – Training & Impact

BroadPath; United States; Remote; USD 20,457 - 29,136; Full time

Job summary

A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities include adjudicating claims, resolving eligibility issues, and generating reports. This full-time role offers a base pay of $18.00 per hour and emphasizes strong communication and analytical skills.

Qualifications

• Two years of experience processing both regular and complex claims.
• Proficiency in ICD-9, CPT, HCPC, and revenue coding is required.
• Strong performance under demanding production and quality standards.

Responsibilities

• Adjudicate all types of claims and resolve system edits.
• Collaborate with Customer Service and Provider Services on large claim projects.
• Identify potential system programming issues.

Skills

Detail-oriented

Strong communication skills

Problem analysis and resolution

Technical proficiency with claims processing software

Education

High school diploma or equivalent

Job description

A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities include adjudicating claims, resolving eligibility issues, and generating reports. This full-time role offers a base pay of $18.00 per hour and emphasizes strong communication and analytical skills.