Medical Claims Entry Operator

Moda Health

This position is currently full time PST remote position for candidate living or willing to relocated to AK, AZ, FL, ID, OR, TX, or WA.


  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • FSA
  • Employee Assistant Program
  • PTO and Company Paid Holidays


  • PST

Required Skills, Experience & Education:

  • High school diploma or equivalent.
  • Six months data entry experience.
  • 10-key proficiency of 135 spm net on a computer numeric keypad.
  • Typing ability of 35 wpm net.
  • Proficiency with Microsoft Office applications and an understanding of basic claims processing rules.
  • Strong problem solving and detail orientation skills.
  • Medical terminology helpful.
  • Ability to adapt to frequent changes in instructions.
  • Ability to come into work on time and on a daily basis.
  • Maintain confidentiality and project a professional business image.

Primary Functions:

  • Data enters claims accurately using Moda computer systems. Reassigns claims appropriately as outlined by Medical Claims processing guidelines.
  • Resolves claims that pend with errors in the processing system by matching claims received to Moda providers or member records.
  • Research and problem solve basic claims data.
  • Identifies and communicates trends.
  • Performs other duties as assigned.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our [email protected] email.

Pay Range

$17.00 Hourly to $18.66 Hourly