Date Posted: 08/15/2025
Hiring Organization: Rose International
Position Number: 487086
Industry: Healthcare
Job Title: Medical Claims Processor
Job Location: Denver, CO, USA, 80202
Work Model: Hybrid
Work Model Details: Remote (Local to Denver, CO))
Shift: Mon to Fri, 8:00 AM to 4:30 PM
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 4
Min Hourly Rate($): 26.00
Max Hourly Rate($): 26.00
Must Have Skills/Attributes: Claims, Documentation, Research
Experience Desired: Adjudicates medical claims/bills (3 yrs); Researches claims/bills (3 yrs)
Required Minimum Education: High School Diploma or equivalent
**C2C is not available**
Job Description
Required Education:
• High School graduate
Location Requirement:
• Remote (within 2.5 hours driving radius from Denver, CO to pick up equipment)
Required Qualifications/Skills/Experience:
• Minimum 3 years of claims processing/adjudication experience
• Must be within a 2.5-hour driving radius from Denver to pick up equipment
• Strong attention to detail and accuracy in claim review
• Proficiency with relevant claims processing systems and MS Office tools
Overview:
• We are seeking an experienced Medical Claims Processor to join our team. This role involves accurately processing and adjudicating medical claims in compliance with policies, guidelines, and regulatory requirements.
Job Summary:
• The Medical Claims Processor will be responsible for reviewing, analyzing, and adjudicating medical claims in an efficient and timely manner. The ideal candidate will have a solid understanding of claims processing rules, medical terminology, and healthcare billing codes.
Job Responsibilities:
• Accurately process and adjudicate medical claims according to policy and regulations
• Review claim information for completeness and accuracy
• Identify discrepancies and resolve claim issues in a timely manner
• Communicate with internal teams to clarify claim-related details
• Maintain confidentiality and comply with HIPAA requirements
• Meet productivity and quality performance standards
Shift:
• Mon to Fri, 8:00 AM to 4:30 PM
Interview Process:
• Virtual interview via Microsoft Teams
Industry:
• Healthcare
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
It was great working for Rose International. Everyone was extremely helpful.
Rosann, Consultant
Rose International maintained good communication during assignments and are very informative through email and phone calls.
Sade, Consultant
I am very happy with the Rose International, and the professionalism of the employees.
Robin, Consultant
Thanks for the opportunity. If in the future I ever need a job, I would like to work for Rose International.
David, Consultant
I had a very positive experience working for Rose. The entire process is very efficient and easy.
Joanne, Consultant
EMPLOYEE COMMENTS