Job Summary:
Responsible for entering paper claims into the claims processing system accurately and on time, following all regulatory guidelines. Supports claims department with data management, audits, and responding to claim status inquiries.

Key Responsibilities:

• Enter paper claims into the system with high accuracy (95% or above).
• Identify provider, vendor, or eligibility issues for review.
• Assist with clerical support tasks such as batching, sorting, and monitoring claims.
• Respond to claims inquiries from providers or internal teams.
• Maintain organized claim batches for audits.

Requirements / Qualifications:

• High School Diploma, GED, or equivalent.
• Minimum 2 years medical claims customer service experience in an HMO or health plan setting.
• At least 1 year of data entry experience; type 40–50 WPM with high accuracy.
• Knowledge of Microsoft Windows, Word, and Excel.
• Basic understanding of medical terminology, ICD-10, HCPCS, and CPT codes.
• Familiarity with managed care concepts.
• Detail-oriented, organized, and able to follow directions.
• Strong multitasking, communication, and customer service skills.
• Ability to work independently and adapt to changing priorities.

Job Type: Contract

Pay: Up to $28.00 per hour

Expected hours: 40 per week

Application Question(s):

• How do you ensure 95%+ accuracy when entering high volumes of medical claims, and what steps do you take to catch errors?
• Can you describe a situation where you encountered a problematic claim (e.g., missing info, eligibility issues) and how you resolved it?

Work Location: In person