Medical Claims Specialist

Medical Claims Specialist Healthcare shouldn't be something you worry about when taking care of your family. That's why when you join Redirect Health, your healthcare costs nothing out of your paycheckand the same is true for your spouse and children. No monthly premiums No deductibles No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans. This isn't a perk. It's part of our mission. Who We Are Redirect Health exists to make healthcare affordable for small businesses and people who can't afford traditional employer insurance. We help real people navigate a system that is often confusing, expensive, and frustratingand we do it with empathy, accountability, and simplicity. If you want your work to matter to families every single day, you'll find purpose here. How We Work (Our Core Values in Action) At Redirect Health, our values guide how we show up for each other, our clients, and our members. We do our best work when we: Obsess Over People We are always helpful, friendly, and human. Own It to Completion If we take something on, we see it through. Always Improve & Adapt We learn quickly and adjust without ego. Always Start with "Yes, We Can Help You" We lead with solutions and figure out the rest. Succeed as a Team We win together through trust and collaboration. Detest Waste & Unnecessary Complexity We remove friction so we can focus on what truly helps people. If these values resonate with you, you'll feel at home here. 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 no money out of your paycheck and no cost when you need care: No monthly premiums No cost to add your spouse or children No deductibles (we reimburse them) No 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 joband want to help reshape how healthcare works for familieswe'd love to hear from you. Legal Stuff Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship.