Medical Claims Adjustor

Location: Sparks, MD, United States

Salary: $19.00 per hour

Company

hirify.global is an independent third-party administrator in the United States, operating more than 44 offices nationwide and administering employee benefit plans.

What you will do

• Process routine health and welfare claims according to assigned plan guidelines, company policies, and regulatory requirements.
• Handle medical, dental, vision, prescription, and Workers’ Compensation claims.
• Maintain current knowledge of assigned benefit plans and apply it to claim payments.
• Provide customer service, including sending pending-claim letters.
• Protect confidential Protected Health Information and Personally Identifiable Information.

Requirements

• High school diploma or GED.
• At least six months of experience processing health and welfare claims.
• Basic knowledge of benefits claims adjudication, medical or dental terminology, ICD-10, and CPT-4 codes.
• Clear and professional verbal and written communication skills.
• Ability to interpret business materials, technical procedures, benefit plans, and regulations.
• Computer proficiency with Microsoft Office and the ability to handle confidential matters with discretion.

Nice to have

• Experience working for a third-party administrator.

Culture & Benefits

• Health, vision, and dental coverage.
• 401(k) retirement savings plan with company match.
• Paid time off.
• Opportunities for professional growth.
• Desk-based work with prolonged computer use; occasional lifting of up to 15 pounds.