Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $23.57 per hour
- Fully remote position offering flexibility in work location
- Comprehensive benefits package including Medical, Dental, and Vision plans
- 401(k) plan with a 3% employer match
- Opportunities for professional growth and development
- Flexible Time Off to promote work-life balance

What to Expect (Job Responsibilities):
- Adjudicate medical healthcare claims requiring high-level review and investigation
- Maintain daily production requirements in line with federal prompt pay turnaround times
- Achieve a quality score exceeding 95%
- Complete weekly pre-adjudication audit reports for payment accuracy
- Communicate system issues to management for resolution

What is Required (Qualifications):
- Minimum 1-3 years of claims processing experience, ideally from both payer and provider perspectives
- Knowledge of CPT and ICD coding
- Ability to work independently and prioritize tasks to meet deadlines
- Intermediate to advanced proficiency in Microsoft Office products
- Strong problem-solving skills and effective written and oral communication

How to Stand Out (Preferred Qualifications):
- Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar certifications
- Prior experience with Eldorado HealthPac Claims Adjudication System

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