Inpatient Claims Specialist

remote-job.net Job Summary: 💶 Salary: 21.30 - 23.96 per hour ⏰ Weekly Working Hours: 37.5h 🔍 Recommended Experience: Junior 🎓 Recommended Education: High School Diploma 🏭 Industry: Healthcare 📋 Main Responsibilities: Reviewing and processing hospital invoices. Analyzing medical data and codes. Adhering to company and regulatory guidelines. ✅ Key Requirements: Experience in processing medical invoices. Proficiency in medical codes such as CPT and ICD-10. Ability to work under pressure and maintain confidentiality. About the Company Founded in 1955 in Oregon, Moda takes pride in being a company of real people committed to quality. Today, just as years ago, we focus on creating a better future for healthcare. That starts with excellent health insurance for our members, compassionate support for our communities, and comprehensive benefits for our employees. It continues through partnering with neighbors to create healthy spaces and places. Moda values diversity and inclusion in the workplace. We demonstrate our commitment to diversity in all our business practices and invite candidates to apply who share this commitment. Our diverse experiences and perspectives make us a stronger organization. Let’s be better together. Responsibilities Reviewing, processing, and adjusting commercial and Medicaid hospital invoices. Interpreting codes and understanding medical terminology related to diagnoses and procedures. Analyzing and applying concepts like deductibles, copayments, and patient responsibility to invoices. Requirements Educational Qualification: High School Diploma or equivalent. 1-2 years of experience in processing medical invoices. Knowledge of medical terminology as well as CPT and ICD-10 codes. Benefits Medical, dental, vision, and pharmacy benefits. 401K with employer matching. Flexible Spending Account (FSA). Employee Assistance Program (EAP). PTO (paid time off) and paid holidays.