Senior Medical Claims Specialist

senior
Legal & ComplianceClaims Specialist
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Quick Summary

Key Responsibilities

Review, analyze, and process complex healthcare, dialysis, and stop loss claims with a level of scrutiny that catches errors before they become liabilities.

Requirements Summary

Complete claims work within required timeframes while maintaining the production standards the team depends on.

Technical Tools
Legal & ComplianceClaims Specialist

Responsibilities

~1 min read

Requirements

~1 min read

 

  • Degree in Business, Healthcare Administration, or a related field preferred; equivalent experience considered
  • 4+ years of experience in claims processing, adjudication, or related healthcare/insurance operations
  • 4+ years of experience working across multiple claims processing systems
  • Healthcare industry background strongly preferred, including experience in health insurance, medical office, billing, admissions, or clinical front-desk settings
  • Thorough knowledge of medical terminology, including ICD-9, CPT, and HCPCS coding
  • Proficiency with claims processing systems, Microsoft Office Suite, and reporting tools
  • Familiarity with insurance database systems a plus
 

What We Offer

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  • Competitive base salary and benefits effective day one
  • Comprehensive medical and dental through our own health solutions (yes, we use what we build)
  • Paid Time Off—rest and recharge time is non-negotiable
  • Mental health support, retirement planning, and financial protection
  • Professional development with clear career progression and learning budgets
  • Mission-driven culture where diverse perspectives drive real impact on people's health

Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks.

Compensation: This position offers a base salary range of $22-$25 per hour, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.

 

Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing.

 

Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to talent@personifyhealth.com. View all legitimate openings at personifyhealth.com/careers.

Location & Eligibility

Where is the job
—
Location terms not specified

Listing Details

Posted
August 24, 2026
First seen
September 26, 2026
Last seen
September 26, 2026

Posting Health

Days active
0
Repost count
0
Trust Level
11%
Scored at
September 26, 2026

Signal breakdown

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careers-personifyhealthSenior Medical Claims Specialist