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

• Process healthcare claims accurately and efficiently using Facets
• Work with claims involving ITS / Inter-Plan Teleprocessing System
• Review claim details for accuracy, completeness, and compliance
• Research claim issues, discrepancies, denials, and related documentation
• Follow established healthcare payer workflows and processing guidelines
• Maintain confidentiality of member, provider, and claims-related information
• Meet production, quality, and turnaround-time expectations
• Communicate professionally with internal teams as needed
• Follow all client security, privacy, confidentiality, and compliance requirements
• Maintain accurate documentation of work performed

Requirements

• Prior hands-on experience processing healthcare claims in Facets
• Working knowledge of ITS / Inter-Plan Teleprocessing System
• Strong understanding of healthcare payer operations and claims workflows
• Ability to work remotely in a secure, professional environment
• Strong attention to detail and accuracy
• Ability to follow detailed procedures and client-specific guidelines
• Strong computer, documentation, and data-entry skills
• Professional communication skills
• Ability to meet productivity and quality standards
• Must be able to complete all required onboarding, background, drug screen, and compliance requirements
• Bachelor's degree required.

Preferred Experience

• Medicare Advantage claims experience
• Prior experience with a healthcare insurance company, managed care organization, or third-party administrator
• Experience handling complex claims, payer edits, adjustments, or claim research
• 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:

• Background screening
• Drug screening
• Employment eligibility verification
• Federal exclusion checks
• Confidentiality and security acknowledgments
• 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.