Claims Examiner - Remote, Boise

divh2Experienced Claims Processor/h2pImagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission is to help clients reduce costs and increase productivity by providing streamlined solutions in document imaging, data validation, adjudication, and on-demand retrieval of documents and data./ppWe are looking for an experienced claims processor to join our rapidly growing team./ppExperience is required for this position./ph3Job Overview/h3pIn this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies./ppJob Type: Full-time/ppThis is a fully remote position/ppPay: $17-18 per hour DOE/ph3Responsibilities:/h3ulliReview and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies./liliVerify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing./liliCommunicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues./liliParticipate in ongoing training and professional development activities./liliMaintain accurate and detailed records of claims processing activities./liliReview claim forms and supporting documents/liliDetermine eligibility, verify data accuracy/liliRequest additional information when needed/liliProcess claims end-to-end/liliIdentify and escalate complex or unusual claims for further review or investigation./liliHandle more complex claims with multiple services, providers/li/ulh3Experience:/h3ulliAt least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment./liliUnderstanding of health claims processing/adjudication/liliAbility to perform basic to intermediate mathematical computation routines/liliMedical terminology strongly preferred/liliUnderstanding of ICD-9

ICD-10/liliBasic MS office computer skills/liliAbility to work independently or within a team/liliTime management skills/liliWritten and verbal communication skills/liliAttention to detail/liliMust be able to demonstrate sound decision-making skills/li/ulh3What We Offer/h3ulliRemote work offered/liliEquipment provided/liliPaid training to set you up for success/liliComprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)/liliPaid Time Off (PTO)/lili7 paid holidays/liliA supportive team and a company that values internal growth/li/ul/div