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Sagility

S.O.A.R With Sagility

Claims Representative – Healthcare

Claims SpecialistClaims SpecialistFull TimeRemoteJuniorTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

83 days ago

Salary

$18 / hour

Seniority

Junior

High School1 yr expExperience acceptedEnglish

Job Description

Claims Representative – Healthcare

Sagility

• Review and process insurance claims accurately using internal guidelines and benefit plans • Research and navigate multiple systems and documents to validate claim details • Confirm required documentation is included and identify missing information • Verify accuracy of medical coding (CPT/ICD-10 preferred) • Evaluate eligibility, coverage, authorizations, and coordination of benefits • Identify discrepancies and resolve errors using established procedures • Maintain productivity and quality standards in a fast-paced environment • Work independently while collaborating with supervisors, coaches, and trainers • Use multiple computer applications and virtual tools such as Outlook, Webex, and internal systems • Continuously improve efficiency through feedback and training support

Job Requirements

  • High school diploma or equivalent
  • Ability to quickly learn new systems and processes
  • Experience using Microsoft Outlook (email, calendar invites, attachments)
  • Basic Microsoft Excel skills (sorting/filtering)
  • Ability to navigate multiple systems using shortcuts and efficient workflows
  • Strong attention to detail and ability to follow complex procedures
  • Excellent time management and organizational skills
  • Ability to meet productivity and quality performance expectations
  • Experience working independently in a remote environment preferred
  • Familiarity with healthcare terminology, insurance claims, CPT or ICD-10 coding preferred
  • Previous claims processing or related administrative experience preferred

Benefits

  • Competitive pay: $18.00/hour
  • Performance-based incentives
  • Paid training in a cutting-edge virtual training environment
  • Comprehensive health coverage (available after 90 days)
  • Employee wellness and engagement programs.
  • Career advancement opportunities: 90% of our leaders started as Customer Service Representatives

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