Job Description:
• Identify and enter basic procedure codes, diagnosis codes, and claims information as required
• Validate claim data for completeness and follow up on missing or unclear information
• Review claim documentation to ensure it aligns with Sidecar Health policies and processing rules
• Flag discrepancies or unusual information to senior processors or supervisors for further review
• Adhere to productivity, quality, efficiency, and attendance expectations
• Maintain accurate work records, notes, and documentation within claims systems
• Follow established workflows and escalate issues when needed
• Participate in training sessions to build knowledge, system proficiency, and claims processing skills
• Collaborate with peers in huddles, sharing questions, blockers, and process insights
• Provide feedback on claim processing instructions and help identify opportunities to simplify or improve workflows
• Uphold confidentiality and compliance requirements, including HIPAA
• Support special projects, seasonal workflows, or cross-functional initiatives as assigned
• Review internal audit results and take corrective steps to improve accuracy and prevent future errors
Requirements:
• 3+ years of experience in claims processing, medical billing, healthcare administration, or a related operational role (or equivalent experience in a regulated, process-driven production environment)
• Experience working in high-production environments where output, idle time, and quality metrics are monitored, and performance is transparent
• Strong sense of ownership and accountability - takes responsibility for outcomes, follows claims through resolution, and does not rely on transferring work to avoid errors or complexity
• Member-first mindset, recognizing that claim accuracy, turnaround time, and responsible ownership directly affect members’ access to care and financial wellbeing
• Ability to manage multiple claims simultaneously while meeting defined service-level agreements (SLAs)
• Strong analytical skills with the ability to identify discrepancies, investigate root causes, and apply policy accurately rather than processing transactions mechanically
• Proficiency navigating multiple systems and tools simultaneously, with the ability to learn new platforms quickly
• High level of professionalism and discretion when handling sensitive health and financial information in compliance with regulations (e.g., HIPAA)
• Ability to work independently in a remote environment with demonstrated accountability, consistent output, and responsiveness during scheduled work hours
• Exceptional attention to detail and a commitment to accuracy when reviewing and entering claim information
• Exposure to claims processing platforms or healthcare operations systems
• Ability to work effectively in a remote environment
Benefits:
• Competitive hourly compensation and equity opportunities
• Medical, Dental, and Vision benefits with no waiting period
• Paid vacation and company holidays
• Company-provided IT equipment (laptop, monitors)
• Ongoing opportunities for professional development and career advancement