About This Role
Medical Claims Specialist helps ensure claims are handled accurately and thoughtfully, so people can focus on getting the care they need without stress, confusion, or unexpected costs.
In this role, you will:
- Serve members, clients, providers, and internal operations teams who rely on clear, accurate claims processing
- Be responsible for getting claims right, resolving issues, and protecting the trust our members place in us
- Directly impact how supported, confident, and cared for families feel when navigating healthcare
This is a hands-on role for someone who:
- Enjoys detail-oriented work and solving problems that matter to real people
- Takes ownership and follows through
- Wants their work to have real-world impact
What You’ll Do
In this role, you will:
- Own: Making sure medical claims are reviewed and processed accurately, so members aren’t left waiting or wondering what happens next
- Support: Members and providers by answering questions and resolving claim issues with clarity and care
- Collaborate with: Third-Party Administrator (TPA) partners, providers, and internal operations teams to keep things moving smoothly
- Improve: Claims accuracy, turnaround time, and the overall experience for members navigating care
- Advocate for: Members by making sure their claims are handled correctly and fairly the first time
A strong performer in this role is known for:
- Caring about the details because they know those details affect real people
- Staying calm, professional, and helpful when resolving issues or answering questions
- Consistently delivering accurate, timely outcomes that members and teammates can trust
How Success Is Measured
Success in this role is measured by:
- Accurate, high-quality claims processing that minimizes rework and delays
- Consistently meeting production and quality standards
- Timely resolution of claim-related questions and issues
- Strong, respectful collaboration with internal teams and external partners
What We’re Looking For
We’re looking for someone who:
- 1 year of experience in medical claims processing, Required.
- Proficiency in Microsoft Word, Excel, and Electronic Medical Record (EMR) systems, Required.
- Ability to meet production and quality standards consistently.
- Solid knowledge of Microsoft Excel and Word.
- Professional, client-focused approach to colleagues and assignments.
- This is a hybrid role, 3 days in office required.
Why Join Redirect Health
What “Free Healthcare” Actually Means
When we say free, we mean $0 out of your paycheck and $0 when you need care:
- $0 monthly premiums
- $0 to add your spouse or children
- $0 deductibles (we reimburse them)
- $0 out-of-pocket maximums
This benefit alone can save families tens of thousands of dollars.
What You’ll Earn
- Starting Pay: $20.75/hour
- FREE healthcare for you and your entire family
- Dental & Vision insurance
- Paid time off & sick time
- 401(k) access
- A mission-driven team that believes in doing the right thing
Ready to Make a Difference?
If you’re looking for more than just a job—and want to help reshape how healthcare works for families—we’d love to hear from you.