Claims Documentation Specialist

Viva Health • Birmingham, AL

20h

About The Position

The Claims Documentation Specialist will be responsible for creating, updating, and managing all training and operational documentation within the Claims Operations team. This role ensures that training materials, standard operating procedures (SOPs), and job aids are up-to-date, accurate, and aligned with current claims processing procedures and regulatory requirements.

Requirements

• Associate’s degree or equivalent combination of education and relevant experience
• At least 2-3 years in healthcare claims processing, claims operations, or related healthcare administrative role
• Experience creating, maintaining, or updating policies, procedures, or technical documentation
• Experience with medical, professional, and/or institutional claims (UB-04, CMS-1500, etc.)
• Demonstrated knowledge of medical claims workflows, terminology, and adjudication processes
• Working knowledge of healthcare regulations and compliance requirements (CMS, HIPAA, state regulations)
• Strong written communication and technical writing skills with the ability to translate complex processes into clear documentation
• High attention to detail with strong organizational and version control skills
• Ability to collaborate effectively with cross-functional teams like operations, training, quality, compliance, etc.
• Proficiency with standard business software including Microsoft Word, Excel, SharePoint, or comparable document management systems

Nice To Haves

• Bachelor’s degree or equivalent combination of education and relevant experience
• Experience supporting or participating in regulatory audits, quality reviews, or compliance initiatives

Responsibilities

• Develop, maintain, and update claims-related documentation including policies, procedures, workflows, job aids, and reference guides.
• Ensure documentation aligns with current regulatory requirements (CMS, HIPAA, state regulations) and payer-specific guidelines.
• Collaborate with Claims trainers to create structured, clear training materials and resources for new and existing employees.
• Ensure training materials are easy to navigate, up-to-date, and accessible for trainees.
• Translate complex claims processes and regulations into clear, user-friendly written materials.
• Collaborate with claims operations, training, quality, and trainer(s) to validate accuracy and usability of documentation.
• Identify documentation gaps or inconsistencies and recommend improvements to support claims accuracy and efficiency.
• Track and manage version control, approvals, and publication of claims documentation.
• Assist with impact assessments and documentation updates related to system changes, policy updates, or regulatory changes.

Benefits

• Comprehensive Health, Vision, and Dental Coverage
• 401(k) Savings Plan with company match and immediate vesting
• Paid Time Off (PTO)
• 9 Paid Holidays annually plus a Floating Holiday to use as you choose
• Tuition Assistance
• Flexible Spending Accounts
• Healthcare Reimbursement Account
• Paid Parental Leave
• Community Service Time Off
• Life Insurance and Disability Coverage
• Employee Wellness Program
• Training and Development Programs to develop new skills and reach career goals
• Employee Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree