Claims Processor I (Healthcare)

TL;DR

Claims Processor I (Healthcare): Reviewing, validating, and entering medical claims information to ensure accuracy and compliance with company policies. Focus on maintaining high productivity and quality standards in a metrics-driven environment while ensuring member access to care.

Location: Must be based in the United States

Compensation: $23.00 - $25.00 per hour

Company

hirify.global is a mission-driven company redefining health insurance to make it more affordable, transparent, and accessible.

What you will do

• Identify and enter procedure and diagnosis codes into claims systems
• Validate claim data for completeness and investigate discrepancies
• Ensure all processing aligns with company policies and regulatory guidelines
• Maintain accurate documentation and work records within internal systems
• Collaborate with the team to share insights and improve processing workflows
• Uphold HIPAA compliance and confidentiality standards

Requirements

• 3+ years of experience in claims processing, medical billing, or healthcare operations
• Experience working in high-production, metrics-driven environments
• Strong analytical skills with the ability to identify root causes of discrepancies
• Proficiency in navigating multiple systems and tools simultaneously
• Must be able to work independently in a remote environment within the US
• Exceptional attention to detail and commitment to accuracy

Culture & Benefits

• Competitive hourly compensation and equity opportunities
• Comprehensive medical, dental, and vision benefits with no waiting period
• Paid vacation and company holidays
• Company-provided IT equipment including laptop and monitors
• Clear pathways for professional development and career growth