Claims Processor I
Sidecar Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $23 - $25 per hour
About the role
- Identify and enter basic procedure codes, diagnosis codes, and claims information as required
- Validate claim data for completeness and follow up on missing or unclear information
- Review claim documentation to ensure it aligns with Sidecar Health policies and processing rules
- Flag discrepancies or unusual information to senior processors or supervisors for further review
- Adhere to productivity, quality, efficiency, and attendance expectations
- Maintain accurate work records, notes, and documentation within claims systems
- Follow established workflows and escalate issues when needed
- Participate in training sessions to build knowledge, system proficiency, and claims processing skills
- Collaborate with peers in huddles, sharing questions, blockers, and process insights
- Provide feedback on claim processing instructions and help identify opportunities to simplify or improve workflows
- Uphold confidentiality and compliance requirements, including HIPAA
- Support special projects, seasonal workflows, or cross-functional initiatives as assigned
- Review internal audit results and take corrective steps to improve accuracy and prevent future errors
Requirements
- 3+ years of experience in claims processing, medical billing, healthcare administration, or a related operational role (or equivalent experience in a regulated, process-driven production environment)
- Experience working in high-production environments where output, idle time, and quality metrics are monitored, and performance is transparent
- Strong sense of ownership and accountability - takes responsibility for outcomes, follows claims through resolution, and does not rely on transferring work to avoid errors or complexity
- Member-first mindset, recognizing that claim accuracy, turnaround time, and responsible ownership directly affect members’ access to care and financial wellbeing
- Ability to manage multiple claims simultaneously while meeting defined service-level agreements (SLAs)
- Strong analytical skills with the ability to identify discrepancies, investigate root causes, and apply policy accurately rather than processing transactions mechanically
- Proficiency navigating multiple systems and tools simultaneously, with the ability to learn new platforms quickly
- High level of professionalism and discretion when handling sensitive health and financial information in compliance with regulations (e.g., HIPAA)
- Ability to work independently in a remote environment with demonstrated accountability, consistent output, and responsiveness during scheduled work hours
- Exceptional attention to detail and a commitment to accuracy when reviewing and entering claim information
- Exposure to claims processing platforms or healthcare operations systems
- Ability to work effectively in a remote environment.
Benefits
- Competitive hourly compensation and equity opportunities
- Medical, Dental, and Vision benefits with no waiting period
- Paid vacation and company holidays
- Company-provided IT equipment (laptop, monitors)
- Ongoing opportunities for professional development and career advancement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingmedical billinghealthcare administrationprocedure codesdiagnosis codesdata validationaudit reviewworkflow managementpolicy applicationroot cause analysis
Soft Skills
ownershipaccountabilitymember-first mindsetanalytical skillsattention to detailprofessionalismdiscretionindependenceresponsivenesscollaboration
Certifications
HIPAA compliance