Health Insurance Claims Processor in Fargo, North Dakota - #72936 | VanderHouwen

Description

Job Id: 72936

Health Insurance Claims Processor
Our client is seeking a Health Insurance Claims Processor to join a collaborative operations team responsible for ensuring the accurate and timely processing of healthcare claims. This role is ideal for a detail-oriented professional who thrives in a fast-paced environment, enjoys solving problems through research and analysis, and is committed to delivering exceptional service while maintaining quality and productivity standards.

This role is fully remote. Applicants must reside in North Dakota, Oregon, Washington, Utah, or Idaho and must work Central Time Zone hours from 8AM-4:30PM.

Health Insurance Claims Processor Responsibilities

• Process healthcare claims accurately and efficiently by reviewing documentation, researching eligibility and benefit information, and applying contract guidelines across multiple claim types.
• Investigate and resolve claim discrepancies by analyzing available information, applying sound judgment, and ensuring accurate claim adjudication.
• Review, adjust, and reprocess previously adjudicated claims while maintaining thorough documentation and audit trails.
• Verify pricing, coordination of benefits, and other claim details as needed to support accurate payment decisions.
• Respond professionally to inquiries from members, providers, and internal business partners, providing clear explanations of claims-related processes.
• Meet established productivity, quality, accuracy, attendance, and turnaround time expectations in a high-volume production environment.
• Adapt quickly to changing procedures, benefit plans, processing systems, and departmental priorities while maintaining processing accuracy.
• Identify processing issues, system improvements, or documentation updates and communicate recommendations to appropriate stakeholders.
• Support inventory management, reporting, training, and other departmental projects as assigned.
• Maintain strict confidentiality and comply with organizational policies, procedures, and regulatory requirements.

Health Insurance Claims Processor Qualifications

• High school diploma or equivalent required.
• Two or more years of office experience, preferably in health insurance claims processing, medical billing, medical office operations, or a related administrative environment.
• Experience processing or researching healthcare claims and applying benefit or contract information is preferred.
• Strong computer proficiency, including Microsoft Office applications such as Outlook, Word, and Excel.
• Excellent keyboarding, data entry, and basic math skills with exceptional attention to detail.
• Demonstrated ability to analyze information, exercise sound judgment, and resolve moderately complex claims-related issues.
• Strong written and verbal communication skills with a customer-focused approach.
• Ability to manage multiple priorities, work independently, and collaborate effectively within a team environment.
• Proven ability to quickly learn new systems, policies, procedures, and claims processing guidelines.
• Ability to thrive in a fast-paced, high-volume environment while consistently meeting quality and production goals.
• Willingness to work possible overtime or occasional travel as business needs require.

Compensation: $19-$20/hr. (DOE)

VanderHouwen Contractors Enjoy Exceptional Benefit Perks!
As an eligible contract employee with VanderHouwen, you’ll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.

Meet VanderHouwen
What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we’re in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies’ staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.

VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!

VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.

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