Claims Examiner

Imagenet LLC

Experienced Claims Processor responsible for adjudicating medical claims in compliance with payer requirements. Join Imagenet, a leading healthcare technology company, to help reduce costs and increase productivity.

Posted 5/17/2026full-timeRemote • New York • 🇺🇸 United StatesJuniorMid-Level💰 $17 - $18 per hourWebsite

About the role

Key responsibilities & impact

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
Participate in ongoing training and professional development activities.
Maintain accurate and detailed records of claims processing activities.
Review claim forms and supporting documents.
Determine eligibility, verify data accuracy.
Request additional information when needed.
Process claims end-to-end.
Identify and escalate complex or unusual claims for further review or investigation.

Requirements

What you’ll need

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment
Understanding of health claims processing/adjudication
Ability to perform basic to intermediate mathematical computation routines
Medical terminology strongly preferred
Understanding of ICD-9 & ICD-10
Basic MS office computer skills
Ability to work independently or within a team
Time management skills
Written and verbal communication skills
Attention to detail
Must be able to demonstrate sound decision-making skills

Benefits

Comp & perks

Health insurance
Dental benefits
Vision benefits
Life insurance
HSA
401(k)
Paid Time Off (PTO)
7 paid holidays
Remote work offered
Equipment provided
Paid training to set you up for success
A supportive team and a company that values internal growth

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical claims processingclaims adjudicationICD-9ICD-10data entryreimbursement methodologiesmathematical computationmedical terminology

Soft Skills

communication skillstime managementattention to detaildecision-makingability to work independentlyteamwork