Claims Representative – Healthcare
Sagility
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $18 per hour
Job Level
About the role
- Review and process insurance claims accurately using internal guidelines and benefit plans
- Research and navigate multiple systems and documents to validate claim details
- Confirm required documentation is included and identify missing information
- Verify accuracy of medical coding (CPT/ICD-10 preferred)
- Evaluate eligibility, coverage, authorizations, and coordination of benefits
- Identify discrepancies and resolve errors using established procedures
- Maintain productivity and quality standards in a fast-paced environment
- Work independently while collaborating with supervisors, coaches, and trainers
- Use multiple computer applications and virtual tools such as Outlook, Webex, and internal systems
- Continuously improve efficiency through feedback and training support
Requirements
- High school diploma or equivalent
- Ability to quickly learn new systems and processes
- Experience using Microsoft Outlook (email, calendar invites, attachments)
- Basic Microsoft Excel skills (sorting/filtering)
- Ability to navigate multiple systems using shortcuts and efficient workflows
- Strong attention to detail and ability to follow complex procedures
- Excellent time management and organizational skills
- Ability to meet productivity and quality performance expectations
- Experience working independently in a remote environment preferred
- Familiarity with healthcare terminology, insurance claims, CPT or ICD-10 coding preferred
- Previous claims processing or related administrative experience preferred
Benefits
- Competitive pay: $18.00/hour
- Performance-based incentives
- Paid training in a cutting-edge virtual training environment
- Comprehensive health coverage (available after 90 days)
- Employee wellness and engagement programs.
- Career advancement opportunities: 90% of our leaders started as Customer Service Representatives
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical codingCPTICD-10claims processingMicrosoft ExcelMicrosoft Outlookdocumentation validationeligibility evaluationcoverage authorizationbenefits coordination
Soft Skills
attention to detailtime managementorganizational skillsindependent workcollaborationproductivityquality standardsefficiency improvementability to follow proceduresadaptability