Claims Processor - Work from HomeView Moreicons • New York, New York, United States
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Claims Processor - Work from Home
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- New York, New York, United States
- New York, New York, United States
Über
Job Description BroadPath, a Sagility Company, is hiring experienced medical Claims Processors to join our remote team. Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front‑end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align with CMS guidelines and client‑specific policies and procedures.
Compensation Highlights
Base Pay: Starting at $17 per hour
Pay frequency: Weekly pay
Schedule Highlights
Schedules can fall between the hours of Monday‑Friday, 8:00 AM – 10:00 PM Eastern Time, and will be assigned based on business needs
Responsibilities
Review medical claims thoroughly to ensure no missing or incomplete information
Navigate multiple computer systems and platforms to research and process assigned claims accurately (e.g., verifying pricing, prior authorizations)
Apply appropriate benefits to each claim in accordance with claims processing policies, including grievance procedures, state mandates, CMS guidelines, and benefit plan documents
Review documentation to assess whether the visit was necessary and whether the policy covers the treatment received
Determine if claims should be paid or denied, and complete denial letters when applicable
Qualifications
Minimum of one year of recent experience processing medical claims for a health insurance company or payer
Familiarity with medical claim forms (CMS‑1500 and UB‑04)
Working knowledge of coding systems: ICD‑10, HCPCS, and CPT
Proficient in computer navigation and technology, including Microsoft Windows, Excel (advanced functions), and web‑based tools and platforms
Excellent verbal and written communication skills
Ability to remain focused and productive in a high‑volume, repetitive task environment
High School Diploma or equivalent
What to Expect
On‑camera participation during interviews, training, team meetings, and regular check‑ins
Face‑to‑face discussions sparking collaboration and engagement
A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions
Benefits
Medical, Dental, and Vision coverage
Life Insurance
Short‑Term and Long‑Term Disability options
Flexible Spending Account (FSA)
Employee Assistance Program
401(k) with employer contribution
Paid Time Off (PTO)
Tuition Reimbursement
Location Work@Home | USA | United States of America
Background Checks BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications based on position requirements.
Diversity Statement BroadPath, a Sagility Company embraces individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered.
Equal Employment Opportunity / Disability / Veterans If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.
BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
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Sprachkenntnisse
- English
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