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Health Claims Specialist - Remote

Posted 20 hours ago
All others
Full Time
KY, USA
13.50USD/hour

Overview

This is a full-time permanent healthcare claims adjudicator position where you will process medical claims independently, ensuring accuracy and compliance with regulations.

In Short

  • Process medical claims through data entry for 90% of the workday.
  • Adjudicate claims according to policy and regulatory guidelines.
  • Follow up on claims requiring additional information.
  • Refer problematic claims to a Lead or auditor.
  • Maintain confidentiality and accuracy in line with HIPAA guidelines.
  • Utilize specific software for claims processing.
  • May be assigned special projects.

Requirements

  • High School Diploma or equivalent.
  • Excellent internet connectivity with specific speed requirements.
  • A quiet and secure workspace.
  • Effective verbal and written communication skills.
  • Strong typing skills (minimum 40 words per minute).
  • Medical Billing and Coding degree/certification.
  • Experience in a medical office setting with knowledge of insurance claims.
  • Knowledge of medical terminology.

Benefits

  • Pay rate of $13.50/hour with potential bonuses.
  • Medical, dental, and vision plans.
  • Paid training and PTO.
  • Company-provided equipment.
  • Advancement opportunities.
  • Monthly rewards and recognition programs.
  • Employee discounts.
  • Health and wellness programs.
  • Weekday schedule, Monday – Friday 8:30 AM – 5:00 PM EST.
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Sutherland

Sutherland is a dynamic and analytical company focused on workforce management solutions. With a team of energetic and dedicated individuals, Sutherland emphasizes the importance of workforce planning, scheduling, and real-time management to enhance operational efficiency. The company seeks to build fulfilling careers for its employees while driving success through effective analysis, implementation of systems, and collaboration with local managers and project leaders. Sutherland values strong communication, leadership, and analytical skills, aiming to uphold performance metrics and foster a supportive team environment.

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