Temporary Claims Processor

HealthEdge

Claims Processor responsible for processing healthcare claims using specific policies and procedures. Collaborating with team members and mentoring juniors in a remote US environment.

Posted 6/12/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Be responsible for processing assigned claims based on client-specified guidelines or as directed by the team leader
Be responsible for meeting productivity targets, financial and procedural accuracy standards as established by management
Mentor junior members of the team
Collaborate with other team members on special projects as assigned by the team leads; special projects can include process documentation development, training, quality audits, assisting with surge activity for the client(s), or any other project as determined by the team leader
Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT, HCPCS, and ICD-10, UB04, CMS 1500, authorizations, medical terminology, and concepts of healthcare
Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure processing accuracy and quality

Requirements

What you’ll need

High School degree required
1 - 3 years of healthcare claims processing experience
ICD-10 CPT and HCPCS coding, is a plus
Solid understanding and ability to analyze claim data
Willingness to learn new skills
Team collaborator
Strong work ethic
The ability to adapt quickly to a fast-paced environment
A self-starter and quick learner
Team player with an ability to collaborate

Benefits

Comp & perks

Health insurance
Paid time off
Remote work options

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare claims processingICD-10CPTHCPCSclaim data analysisbillingmedical terminologyUB04CMS 1500authorizations

Soft Skills

mentoringcollaborationcommunicationadaptabilityself-starterquick learnerteam playerstrong work ethic

Certifications

High School degree