Claims Resolution

MMC Group•Helena, MT

19h•Onsite

About The Position

Join Our Claims Resolution Team! No Weekends | Flexible Schedule | $17 to $19 per Hour Are you detail oriented, organized, and looking for a rewarding career where your work truly makes a difference? We're looking for motivated professionals to join our Claims Resolution Team and help support Montana Medicaid providers. If you enjoy working in a fast-paced office environment, have strong data entry skills, and take pride in accuracy, this is an outstanding opportunity to build a long-term career with a company that values its employees. As a Transaction Processing Associate, you'll play an essential role in ensuring healthcare claims are processed accurately and efficiently. Your attention to detail helps providers receive timely claim resolution while maintaining the highest standards of quality. Your work will directly support Montana Medicaid providers by helping ensure healthcare claims are processed accurately, efficiently, and on time. Every claim you process contributes to better service for healthcare providers and the communities they serve.

Requirements

Experience processing Medicaid or healthcare claims
Familiarity with healthcare claims review, adjudication, or Medicaid regulations
Experience using claims management systems or Electronic Health Record (EHR) platforms preferred
Knowledge of healthcare or insurance terminology preferred
Strong computer skills, including Microsoft Office
Typing speed of 40+ WPM (must be listed on your resume)
High school diploma or equivalent
Previous office, clerical, or administrative experience
Excellent written and verbal communication skills
Strong grammar, spelling, and attention to detail
Ability to maintain confidentiality while working with sensitive information
Authorized to work permanently in the United States without visa sponsorship
Ability to successfully complete a background check and pre-employment drug screening

Nice To Haves

Experience using claims management systems or Electronic Health Record (EHR) platforms
Knowledge of healthcare or insurance terminology

Responsibilities

Enter healthcare claim information into processing systems with speed and accuracy
Review claim documents for completeness before processing
Identify missing or inaccurate information for follow up
Meet productivity and quality goals
Follow established claim processing procedures and guidelines
Communicate with team members regarding questions or discrepancies
Handle confidential healthcare information with professionalism
Maintain compliance with company security and data integrity policies
Perform additional administrative support duties as needed

Benefits

Paid, comprehensive training
Flexible weekday work schedule
Monday through Friday schedule, no weekends
Business casual work environment
Career growth and advancement opportunities
Health, dental, and vision insurance for eligible full-time employees
Paid holidays and paid time off
401(k) with company matching
Employee discount program
Dependent Care benefits to help offset childcare, after school, or elder care expenses for eligible full-time employees
Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits