Claims Administrator (Healthcare)

TL;DR

Claims Administrator (Healthcare): Supporting efficient claims processing and data accuracy within the Complex Payment Solutions Team with an accent on document hygiene, charge validation, and error resolution. Focus on managing import queues, reconciling balances, and facilitating seamless claims routing to auditors.

Location: Must be based in the US

Salary: $24.00 per hour

Company

hirify.global is a healthcare intelligence company providing an AI-powered platform to maximize financial outcomes and reduce costs for health plans.

What you will do

• Review incoming claims, assign statuses, and route files to auditors.
• Manage import queues, reconcile balances, and validate charges.
• Identify and correct errors to ensure data accuracy.
• Analyze data trends and monitor file-sharing processes.
• Perform data entry and administrative tasks to maintain volume levels.
• Collaborate with internal teams to address inquiries and discrepancies.

Requirements

• Must be based in the US
• Experience in medical record review and knowledge of medical terminology preferred.
• Proficiency in Microsoft Office Suite and Adobe Acrobat.
• Strong attention to detail and analytical skills.
• Ability to work collaboratively in a dynamic environment.

Culture & Benefits

• Eligibility for health, vision, and dental coverage.
• 401(k) plan participation with company match.
• Flexible spending accounts.
• PTO, paid holidays, and volunteer days.
• Tuition reimbursement.
• Company-paid life insurance, short-term disability, and parental leave.