Unknown Company is hiring a Claims Processing Representative 1

Become a Part of Our Supportive Team and Champion Health-Focused Solutions The Claims Processing Representative 1 evaluates and resolves intricate or specialized claims submitted through paper documentation. This role encompasses fundamental administrative, clerical, operational, and customer computational tasks, typically addressing routine and standardized assignments. The Claims Processing Representative 1 assesses claims to determine approval, rejection, or payment status, adhering strictly to organizational protocols and established guidelines. Decision-making occurs within predefined parameters concerning work expectations, quality standards, priorities, and timing, operating under close supervision with minimal deviation opportunities. Use Your Talents to Create Meaningful Impact Required Qualifications - 1-2 years of experience in administrative or data entry positions - Proficiency with Microsoft Word - Capability to manage multiple priorities in a dynamic environment - Quick adaptability to emerging technological systems - Aptitude for analytical thinking - Exceptional attention to accuracy and detail Preferred Qualifications - Prior inbound call center or customer service background - Experience with medical claims processing - Understanding of HIPAA 837 and 835 electronic claim transactions - Knowledge of Medicare Risk Adjustment and Medicaid procedures Additional Information This position is fully remote and can be conducted from anywhere in the United States. Work-From-Home Requirements Home internet service must meet specific criteria: - Minimum download speed of 25 Mbps and upload speed of 10 Mbps - Wireless, wired cable, or DSL connection recommended - Satellite/cellular connections require leadership approval - Employees in specific states receive bi-weekly internet expense compensation - Telephone equipment provided for business requirements - Dedicated workspace necessary to protect sensitive information Travel: Occasional office visits for training might be required. Scheduled Weekly Hours: 40 Compensation Range: $39,000 - $49,400 annually, varying based on experience and qualifications. Comprehensive Benefits Package Competitive benefits supporting holistic well-being, including medical, dental, vision coverage, retirement savings plan, paid time off, holiday provisions, disability insurance, and additional wellness opportunities. Application Deadline: 11-26-2025 Our Organization Commitment Dedicated to prioritizing health for teammates, customers, and the broader community. Providing accessible, timely care and services for Medicare, Medicaid, military personnel, and diverse populations. Equal Opportunity Employer Committed to non-discriminatory hiring practices, ensuring fair employment regardless of race, gender, age, disability status, or veteran classification. All employment decisions based on valid job requirements.