ashby
CLAIMS PROCESSOR
Careerswift
Remote, USA
Full-time
Entry · 1+ years experience
Remote
Discovered 2 days ago
CMS-1500UB-04HIPAA
Free
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CMS-1500UB-04HIPAA
Key Skills for This Role
CMS-1500UB-04HIPAA
Full Job Posting
WHAT YOU WILL DO
- Review and process healthcare claims in accordance with payer requirements and established procedures
- Verify claim information for accuracy, completeness, and consistency before submission
- Apply payer-specific requirements and billing guidelines accurately and consistently
- Identify claims requiring additional documentation, correction, or review and escalate as appropriate
- Resolve routine claim discrepancies and errors within established guidelines
- Work with billing and coding teams to investigate and resolve claim-related issues
- Maintain accurate records of processed claims and follow established documentation procedures
- Meet productivity and quality standards while maintaining a high level of accuracy
WHAT WE ARE LOOKING FOR
1+ year of experience in medical claims processing, healthcare billing, or a related revenue cycle role
Working knowledge of CMS-1500 and UB-04 claim forms
Understanding of basic medical billing terminology and payer requirements
Experience with a claims processing, billing, or practice management system
Strong attention to detail and ability to identify discrepancies in claim information
Ability to manage high-volume work while maintaining accuracy and meeting deadlines
Strong communication and problem-solving skills
HIPAA-compliant private workspace and ability to work effectively in a fully remote role
NICE TO HAVE
Experience working with multiple insurance payers
Medical coding knowledge or experience
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