Claims Processor

Careerswift · via Himalayas ·

TypeFull-time job
LocationWorldwide
Posted2 hours ago
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Claims Processor, you will review and process healthcare claims to ensure they are accurate, complete, and submitted according to payer requirements. You will work closely with billing and coding teams to identify discrepancies, resolve routine issues, and help ensure claims are processed efficiently and accurately.
WHAT YOU WILL DO

Review and process healthcare claims in accordance with payer requirements and established procedures

Verify claim information for accuracy, completeness, and consistency before submission

Apply payer-specific requirements and billing guidelines accurately and consistently

Identify claims requiring additional documentation, correction, or review and escalate as appropriate

Resolve routine claim discrepancies and errors within established guidelines

Work with billing and coding teams to investigate and resolve claim-related issues

Maintain accurate records of processed claims and follow established documentation procedures

Meet productivity and quality standards while maintaining a high level of accuracy

WHAT WE ARE LOOKING FOR

1+ year of experience in medical claims processing, healthcare billing, or a related revenue cycle role

Working knowledge of CMS-1500 and UB-04 claim forms

Understanding of basic medical billing terminology and payer requirements

Experience with a claims processing, billing, or practice management system

Strong attention to detail and ability to identify discrepancies in claim information

Ability to manage high-volume work while maintaining accuracy and meeting deadlines

Strong communication and problem-solving skills

HIPAA-compliant private workspace and ability to work effectively in a fully remote role

NICE TO HAVE

Experience working with multiple insurance payers

Medical coding knowledge or experience

Experience with claim corrections, denials, or appeals

Familiarity with electronic claims submission systems

Experience working with provider groups or hospitals

COMPENSATION AND BENEFITS
Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare revenue cycle expertise.
Benefits and additional employment details will be discussed during the hiring process.
HIRING PROCESS
Application review → introductory conversation → practical assessment → hiring manager interview → offer.
EQUAL OPPORTUNITY
Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.
Location: Remote
Originally posted on Himalayas
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