Claims Clerk

Position - Claims Processor

Location - Cincinnati, OH - Hybrid (2-3x/week in-office)

Rate - $16 to $17.35/hour

Assignment Duration: Through 12/31/2025 (Pending Extension)

Work Hours: Monday-Friday, 8:00 AM-4:30 PM (30-minute lunch)

Employment Type: Temp-to-Hire

Work From Home: Must have adequate WFH space and follow remote work protocols

Key Requirements:

Data Entry Score: Minimum 9000 ksmp (Must be included at the top of resume)

Ideal Candidate Characteristics:

Strong attention to detail

Ability to work in a high-paced, high-volume environment

Comfortable working autonomously and remotely

Proficient in Microsoft Excel (medium to advanced), Outlook, and OneDrive

Able to multi-task and use multiple systems simultaneously

Data entry experience preferred

Strong communication skills

Medicare/Medicaid knowledge is a plus

Job Responsibilities:

Execute client setup tasks using standard guidelines and processes

Track implementation tasks using a proprietary project management tool

Validate benefit setup and communicate discrepancies

Set up online client portals and track progress

Monitor shared mailbox for incoming membership documents

Review membership documents for accuracy and formatting

Communicate required updates for successful processing

Compliance & Training Requirements (within first 2 weeks):

General Compliance

HIPAA

Fraud, Waste, and Abuse

Conflict of Interests Acknowledgement

Avoiding Dangerous Links

Unintentional Insider Threats

New Hire Fraud Training

Model of Care

ODAG

CA Fair Claims

Permanent