Remote Claims Processor – Facets / ITS

Remote Claims Processor – Facets / ITS

Company: AMMON Staffing
Job Title: Remote Claims Processor – Facets / ITS
Job Type: Temporary / Contract
Location: Remote
Pay: $22.00–$28.00 per hour, depending on experience
Schedule: Full-time, Monday–Friday, standard business hours
Job ID: 27739

Job Overview

AMMON Staffing is recruiting experienced Remote Claims Processors for a large, highly established healthcare payer organization. This client supports healthcare coverage, member services, provider operations, and claims administration across a broad member population.

This position is ideal for candidates with hands-on experience processing healthcare claims in Facets and working knowledge of ITS / Inter-Plan Teleprocessing System. Candidates should have a strong understanding of healthcare payer operations, claims workflows, claim adjudication, and related documentation.

Job Details

Selected candidates will support claims processing operations for a major healthcare insurance organization. Work may involve reviewing, processing, researching, and resolving healthcare claims in accordance with payer guidelines, internal procedures, compliance requirements, and applicable regulatory standards.

This is a remote position; however, candidates must be dependable, professional, and able to work independently in a secure remote environment.

Responsibilities

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Process healthcare claims accurately and efficiently using Facets

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Work with claims involving ITS / Inter-Plan Teleprocessing System

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Review claim details for accuracy, completeness, and compliance

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Research claim issues, discrepancies, denials, and related documentation

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Follow established healthcare payer workflows and processing guidelines

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Maintain confidentiality of member, provider, and claims-related information

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Meet production, quality, and turnaround-time expectations

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Communicate professionally with internal teams as needed

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Follow all client security, privacy, confidentiality, and compliance requirements

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Maintain accurate documentation of work performed

Requirements

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Prior hands-on experience processing healthcare claims in Facets

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Working knowledge of ITS / Inter-Plan Teleprocessing System

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Strong understanding of healthcare payer operations and claims workflows

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Ability to work remotely in a secure, professional environment

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Strong attention to detail and accuracy

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Ability to follow detailed procedures and client-specific guidelines

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Strong computer, documentation, and data-entry skills

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Professional communication skills

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Ability to meet productivity and quality standards

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Must be able to complete all required onboarding, background, drug screen, and compliance requirements

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Bachelor’s degree required.

Preferred Experience

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Medicare Advantage claims experience

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Prior experience with a healthcare insurance company, managed care organization, or third-party administrator

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Experience handling complex claims, payer edits, adjustments, or claim research

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Knowledge of HIPAA, PHI, and healthcare confidentiality requirements

Screening Requirements

Candidates may be required to complete client-specific onboarding and compliance requirements, which may include:

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Background screening

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Drug screening

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Employment eligibility verification

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Federal exclusion checks

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Confidentiality and security acknowledgments

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Client-required system access procedures

About AMMON Staffing

AMMON Staffing is a locally owned and operated staffing firm based in Baton Rouge, Louisiana. Since 1984, AMMON Staffing has provided temporary, temp-to-hire, contract, and direct hire staffing services to businesses and healthcare organizations throughout the region.

Company profile