Medical Claims Processor, Healthcare Claims & EMR Systems
Overview
Own medical claims processing for members and providers in a hybrid Phoenix role. You will review, process, and resolve claim issues to minimize delays and confusion for families navigating care. Collaborate with TPAs, providers, and internal teams to ensure accurate, timely outcomes. Join a mission-driven team focused on affordable healthcare and clear, compassionate service.
What You'll Do6
- 1Build claim workflows to ensure accuracy and timely processing within 3 days of submission
- 2Respond to member and provider questions with clear, empathetic communication
- 3Collaborate with Third-Party Administrator partners and internal teams to keep claims moving smoothly
- 4Improve claims accuracy and turnaround time through proactive issue resolution
- 5Advocate for members by ensuring claims are handled correctly and fairly the first time
- 6Own the review and processing of medical claims to minimize rework and delays
Requirements5
- 11 year of experience in medical claims processing
- 2Proficiency in Microsoft Word and Excel and Electronic Medical Record systems
- 3Ability to meet production and quality standards consistently
- 4Strong attention to detail and customer-focused approach
- 5Hybrid role requiring 3 days in office in Phoenix
Salary Insight
$40 - $50k per year
Location
Required Skills
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