Claims Processing, Customer Experience, Customer Relations, Dental Insurance, Detail Oriented, Electronic Medical Records, Healthcare, Legal, Microsoft Excel, Microsoft Word, Problem Solving Skills, Quality Metrics, Time Management, Vision Plan
LOCATION
Phoenix, Arizona
POSTED
30+ days ago
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 job—and want to help reshape how healthcare works for families—we’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.