Job Description

Claims Administration Clerk

📍 Location: Hybrid (Remote + In-Office as Assigned)

🕒 Schedule: Full-Time

💲 Starting Pay: $18.25/hour

🏢 Department: Claim Administration

About the Opportunity

Are you highly organized, detail-driven, and comfortable working in both remote and in-office settings? We’re hiring a Claims Administration Clerk to join our fast-paced Claim Administration team. This role is ideal for someone who thrives in structured workflows, enjoys problem-solving, and has recent in-office experience supporting administrative or operational functions.

If you’re self-motivated, accurate, and ready to contribute to an essential part of the healthcare claims process, we’d love to meet you.

What You’ll Do

• Process assigned system edits prior to claim submission
• Print and mail paper medical & behavioral health claims
• Prepare supporting documentation (EOBs, medical records, etc.)
• Perform in-person filing duties when needed
• Pull itemized bills for subpoena requests and respond to payer documentation requests
• Prepare and upload trip tickets for transportation claims
• Upload documentation packets and complete portal data entry
• Download, review, and file payer correspondence
• Assist with invoicing and spreadsheet-based claiming tasks
• Maintain and organize electronic and physical filing systems
• Uphold strict HIPAA and confidentiality standards
• Participate in department projects and meet productivity/quality metrics
• Complete additional duties as assigned

Required Qualifications

• High school diploma or GED
• Must have recent in-office work experience
• 1–2 years of healthcare claims experience (preferred)
• Ability to manage logins and passwords across multiple payer portals
• Strong software proficiency and internet research skills
• Experience working in a hybrid or remote setting (preferred)
• Valid identification and ability to work onsite as scheduled

Skills & Competencies

• Strong attention to detail and accuracy
• Excellent organization and time management
• Clear, professional communication skills
• Ability to follow regulatory and procedural guidelines
• Positive, team-oriented work ethic
• Strong problem-solving abilities and sound judgment
• Ability to stay focused and proactive in a fast-paced environment

Work Environment & Physical Requirements

• Fast-paced environment with shifting priorities
• Frequent walking, sitting, standing, and document handling
• Ability to lift 10–15 lbs occasionally
• Visual acuity required for data entry and reviewing documentation

Equal Opportunity Employer

We are an Equal Opportunity Employer. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.

Interested? Let’s Connect!

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