Health Claims Examiner – Remote

$19.00 per hour | Full-Time | Full Benefits Package

About Allegiance Benefit Plan Management
Allegiance is a trusted leader in benefit plan management, providing medical, dental, vision, and prescription drug claims services with a strong focus on accuracy, customer service, and compliance. Our team is dedicated to improving patient outcomes while maintaining efficiency and professionalism in every interaction.

Schedule

  • Full-time, hourly role ($19.00/hr)
  • Standard business hours, Monday–Friday
  • Eligible for full benefits package

What You’ll Do

  • Verify documentation accuracy for medical, dental, vision, and prescription drug claims
  • Collaborate with providers, plan participants, and payers to obtain necessary claim information
  • Analyze claim details, including diagnosis codes, service dates, procedure codes, and charges
  • Ensure proper payment processing in line with plan provisions
  • Draft correspondence for pre-determinations and benefit inquiries
  • Answer calls from plan participants, providers, and customer service staff
  • Research and resolve problematic claims in collaboration with supervisors
  • Support large case management assignments for critically ill patients
  • Assist with claim appeals, subrogation, refunds, audits, and plan setup
  • Contribute to team productivity standards with high accuracy

What You Need

  • High school diploma or GED required
  • Basic computer and customer service experience
  • Typing speed of at least 45 wpm
  • Strong oral/written communication and listening skills
  • Excellent organizational and problem-solving abilities
  • Ability to interpret benefit plan documents and apply them correctly
  • Knowledge of Medicare, Medicaid, and managed care reimbursement preferred
  • Familiarity with HIPAA standards and confidentiality requirements

Benefits

  • Full benefits package, including medical, dental, and vision
  • Paid time off and company holidays
  • 401(k) plan with company match
  • Paid disability and life insurance coverage
  • Education assistance opportunities
  • Supportive culture emphasizing professionalism, flexibility, and teamwork

Make a difference with Allegiance by ensuring claims are processed accurately and patients get the care they need.

Happy Hunting,
~Two Chicks…

APPLY HERE