01Overview
About the position
Medical Claims Specialist helps ensure claims are handled accurately and thoughtfully, so people can focus on getting the care they need without stress, confusion, or unexpected costs.
In this role, you will:
Serve members, clients, providers, and internal operations teams who rely on clear, accurate claims processing
Be responsible for getting claims right, resolving issues, and protecting the trust our members place in us
Directly impact how supported, confident, and cared for families feel when navigating healthcare
This is a hands-on role for someone who:
Enjoys detail-oriented work and solving problems that matter to real people
Takes ownership and follows through
Wants their work to have real-world impact
Responsibilities
Making sure medical claims are reviewed and processed accurately, so members arent left waiting or wondering what happens next
Supporting members and providers by answering questions and resolving claim issues with clarity and care
Collaborating with Third-Party Administrator (TPA) partners, providers, and internal operations teams to keep things moving smoothly
Improving claims accuracy, turnaround time, and the overall experience for members navigating care
Advocating for members by making sure their claims are handled correctly and fairly the first time
Requirements
1 year of experience in medical claims processing, Required.
Proficiency in Microsoft Word, Excel, and Electronic Medical Record (EMR) systems, Required.
Ability to meet production and quality standards consistently.
Solid knowledge of Microsoft Excel and Word.
Professional, client-focused approach to colleagues and assignments.
Benefits
$0 monthly premiums
$0 to add your spouse or children
$0 deductibles (we reimburse them)
$0 out-of-pocket maximums
Dental & Vision insurance
Paid time off & sick time
401(k) access
Apply To this Job
Company : Redirect Health
Salary : Full-time .
