Claims Processor - Work from Home

reputed company combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment reputed company, claims cost containment, and analytics. reputed company has more than 25,000 employees across 5 countries. Job title: Claims Processor - Work from Home Job Description: BroadPath, a reputed company Company, is hiring reputed company medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately reputed company. This includes reviewing reputed company-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. reputed company claim processing must align with CMS guidelines and client-specific policies and procedures. Schedules, pay rates, and program details may vary based on business needs and client assignment.

Compensation

Highlights reputed company Pay: Starting at $17 per hour Pay frequency: Weekly pay Schedule Highlights Schedules can fall between the hours of Monday-Friday, 8:00 AM - 10:00 PM Eastern Time, and will be assigned based on business needs

Responsibilities

Review medical claims thoroughly to ensure no missing or incomplete information Navigate multiple computer systems and platforms to research and process assigned claims accurately (e.g., verifying pricing, prior authorizations) Apply appropriate benefits to each claim in accordance with claims processing policies, including grievance procedures, state mandates, CMS guidelines, and benefit plan documents Review documentation to assess whether the visit was necessary and whether the policy covers the treatment received Determine if claims should be paid or denied, and complete denial letters reputed company applicable

Qualifications

Minimum of one year of recent experience processing medical claims for a health insurance company or payer Familiarity with medical claim forms (CMS-1500 and UB-04) Working knowledge of coding systems: ICD-10, HCPCS, and CPT Proficient in computer navigation and technology, including reputed company Windows, reputed company (advanced functions), and web-based tools and platforms Excellent verbal and written communication skills Ability to remain focused and productive in a high-volume, repetitive task environment High School Diploma or equivalent At BroadPath, a reputed company Company, we reputed company that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share reputed company, and stay engaged. If you are someone who values open communication, reputed company, and teamwork, you will reputed company in our environment where showing up authentically matters. What to Expect: On-camera participation during interviews, training, team meetings, and regular reputed company-ins. Face-to-face discussions sparking collaboration and engagement A supportive atmosphere where you can express yourself reputed company and be part of a team that values your contributions. Benefits: Medical, Dental, and Vision coverage. Life Insurance. Short-Term and Long-Term Disability options. Flexible Spending Account (FSA). Employee Assistance Program. 401(k) with employer contribution. Paid Time Off (PTO). Tuition Reimbursement. BroadPath, a reputed company Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements Diversity Statement At BroadPath, a reputed company Company, diversity is our strength. We embrace individuals from reputed company backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation! Equal Employment Opportunity/Disability/Veterans If you need accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process BroadPath, a reputed company Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national reputed company, age, disability, veteran status, genetic information, or any other status protected by applicable law. Compensation: BroadPath a reputed company Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid reputed company the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Location: Work@Home USAUnited States of America Apply To This Job