Talent.com
Lumen Solutions Group Inc.
Claims ProcessorLumen Solutions Group Inc. • Baltimore, MD, United States
Claims Processor

Claims Processor

Lumen Solutions Group Inc. • Baltimore, MD, United States
5 days ago
Job type
  • Full-time
Job description

Claims Processor

We are seeking experienced Claims Processors to join our remote team supporting the HMO and PPO lines of business. The ideal candidate will have strong claims processing experience, hands-on expertise with the Facets G6 production platform, and the ability to work efficiently in a fast-paced, accuracy-driven environment. This role requires using your own fully functional, up-to-date device, as equipment will not be provided.

Key Responsibilities

  • Process medical claims accurately and efficiently in a high-volume environment
  • Navigate the Facets G6 production platform to review and adjudicate claims
  • Research, evaluate, and resolve claim discrepancies, edits, and errors
  • Utilize internal tools such as SIR, TI Portal, and GuidingCare (if experienced)
  • Maintain compliance with company policies and regulatory requirements
  • Collaborate with supervisors and team members to meet quality and productivity goals
  • Participate in a structured, instructor-led virtual training program
  • Manage time effectively while working independently in a remote setting

Required Skills & Experience

  • Stored Information Retrieval (SIR)
  • Transaction Insight (TI Portal Database)
  • HealthEdge GuidingCare
  • Experience with HMO and PPO claims workflows
  • Prior experience supporting Blue Cross Blue Shield plans

Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

Create a job alert for this search

Claims Processor • Baltimore, MD, United States

Similar jobs

Test Products from Home – $25-$45/hr + Freebies

OCPANorth Codorus, Pennsylvania, us
$15.00 hourly
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Billing Specialist I

Greater Baltimore Medical Center (GBMC)Phoenix, Maryland, United States
Full-time

Under direct supervision, performs all billing and collection functions on account balances within assigned financial classes.Ensures timely submission of all claims and timely follow up.Perform el... Show more

 • Promoted

Lead Embedded Software Test Engineer - Automation & Quality

Johnson ControlsNew Freedom, York County, United States
Full-time

A leading technology firm is seeking a Senior Software Test Engineer in New Freedom, PA to lead the testing of cutting-edge Chiller products.This role involves developing test plans, collaborating ... Show more

 • Promoted

Paid Product Tester

Product Review JobsNEW FREEDOM, PA, United States
Full-time

Compensation: Varies per assignment.Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market res... Show more

 • Promoted

Remote Product Tester – $45/hr + Free Products – Start Now!

OCPAShrewsbury township, Pennsylvania, us
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Principal Solutions Architect - Claims Processing (Remote)

CareFirst BlueCross BlueShieldBaltimore, MD, United States
Remote
Full-time

Responsible for establishing strategic technology direction and creating solution architecture for large complex initiatives/projects.Responsible for the strategic design of technical solutions for... Show more

 • Promoted

Senior Software Engineer (Prime)

Intelliforce-IT Solutions Group, LLC.MD, United States
Temporary

Senior Software Engineer, Workflow & Data Systems.Make an Impact Where It Matters Most.Join a team building software that helps analysts make sense of complex mission activity in real time.These ca... Show more

 • Promoted

Senior Software Test Engineer (onsite)

YDU JC Air Cond & Ref Inc.- DubaiNew Freedom, York County, United States
Full-time +1

Senior Software Test Engineer (onsite) page is loaded## Senior Software Test Engineer (onsite)locations: New Freedom-Pennsylvania-United States of Americatime type: Full timeposted on: Posted... Show more

 • Promoted

Claims - Processor, Claims I

MindlanceOwings Mills, MD, United States
Full-time

Under direct supervision, reviews and adjudicates paper/electronic claims.Determines proper handling and adjudication of claims following organizational policies and procedures.Examines and resolve... Show more

 • Promoted

TEMP- Claims Adjuster

Argonaut Management Services, IncBaltimore, Maryland, United States
Temporary

Argo Group is an underwriter of specialty insurance products in the property and casualty market.Argo offers a full line of products and services designed to meet the unique coverage and claims-han... Show more

 • Promoted

Embedded Systems Test Lead — Senior Software QA

YDU JC Air Cond & Ref Inc.- DubaiNew Freedom, York County, United States
Full-time

A global building solutions provider located in New Freedom, PA, is searching for a Senior Software Test Engineer.In this role, you will lead the development and execution of test plans for embedde... Show more

 • Promoted

Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

StoutBaltimore, Maryland, United States
Full-time

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence.Both our client service and culture are second to none, stemming from our firmwide embrace of our... Show more

 • Promoted

Insurance Claims Environmental

Diedre Moire Corporation, Inc.Pikesville, MD, US
$110,000.00 yearly
Full-time

Insurance Defense - Claims - Woodlawn CDP, MD Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _.REMOTE WORK FROM HOME AVAILA... Show more

 • Promoted

AR Follow Up Associate

TEKsystemsCatonsville, Maryland, United States
Full-time

Location: Onsite - Catonsville, MD.Schedule: Monday-Friday, First Shift.We are seeking an AR FollowUp Associate to support accounts receivable operations related to resident care services in a prof... Show more

 • Promoted

Work-From-Home Product Quality Assurance - $45 per hour

Great LionBowie , Maryland
$45.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

PT Associate Center Store Replenishment - 6271

The GIANT CompanyShrewsbury, Pennsylvania, United States
Full-time

USA-PA-Shrewsbury-14635 Mt Airy Rd.At The GIANT Company we're committed to making our stores and facilities better every day for our team members, customers, and communities.It's our secret recipe ... Show more

 • Promoted

Claims Processor

Lumen Solutions Group Inc.Baltimore, MD, United States
Full-time

We are seeking experienced Claims Processors to join our remote team supporting the HMO and PPO lines of business.The ideal candidate will have strong claims processing experience, hands-on experti... Show more

 • Promoted

Senior Mortgage Processor

Sparks GroupBaltimore, Maryland, United States
$50,000.00 yearly
Full-time
Quick Apply

Are you a seasoned Processor who is looking to grow into a Senior role? Are you money motivated? We are seeking a polished, experienced, and highly driven Senior Mortgage Processor to join a fast-p... Show more

Medical Billing and Coding - Entry Level Training Program

DreamboundBowie, Maryland, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

 • Promoted

Retail Parts Pro

Advance Auto PartsJessup, MD, United States
Full-time

Job Description We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age national origin, religion, sexual ori... Show more