Ascension’s Automated Benefits Services (ABS) is offering an excellent remote work opportunity for a Claims Adjuster position, allowing qualified insurance professionals to work entirely from home while reviewing and adjusting previously processed claims.
This 100% remote role provides the perfect balance of detailed claims work and flexible home office arrangements.
As a remote Claims Adjuster at Ascension, you’ll investigate issues or errors in processed claims and make necessary adjustments from the comfort of your home office. Working from home, you’ll research assigned claims by navigating multiple platforms to capture the data needed for accurate processing while ensuring proper benefits are applied to each claim.
This home office position requires strong knowledge of Medicaid claims, health insurance claims processing, and experience with systems like FACETS. You’ll read and assess applicable medical documents, process Medicaid insurance claims (medical, dental, and vision), and communicate information to support proper procedures while enjoying the flexibility of a remote work environment.
The ideal candidate will have experience with Anthem and Blue Cross Blue Shield claim insurance processing, with a minimum of 3 years of Medicaid claims experience preferred. If you’re seeking a rewarding remote work opportunity that allows you to contribute to healthcare claims accuracy while enjoying the benefits of working from home, this position offers the perfect combination of specialized expertise and work-life balance.
Activities
- Research and review assigned claims across multiple platforms from your home office
- Communicate with relevant parties regarding adjustments to resolve claim errors
- Complete necessary claim adjustments to ensure proper benefits application while working remotely
- Read and assess medical documentation to determine appropriate claim processing
- Process Medicaid insurance claims including medical, dental and vision coverage
- Communicate information effectively with various stakeholders to support procedures
- Apply strong knowledge of Medicaid claims processing from your home workspace
- Utilize health insurance claims expertise to ensure accurate adjustments
- Navigate FACETS and other claims processing systems efficiently while working remotely
- Maintain detailed records of claim adjustments and communications
Requirements
- High School diploma OR 1 year of applicable cumulative job-specific experience
- Strong knowledge of Medicaid claims processing
- Experience with health claim insurance processing (medical, dental, vision)
- Familiarity with FACETS claims processing system preferred
- Experience with Anthem and Blue Cross Blue Shield claim insurance processing (required)
- Minimum of 3 years Medicaid claims experience (preferred)
- Excellent attention to detail and analytical abilities for remote work
- Strong communication skills suitable for virtual collaboration
- Self-discipline and ability to work independently from a home office
- Reliable internet connection and appropriate home workspace setup
Benefits
- Comprehensive paid time off (PTO) package for excellent work-life balance in your remote role
- Various health insurance options and wellness plans supporting home office workers’ wellbeing
- Retirement benefits including employer match plans securing your financial future
- Long-term and short-term disability protection for peace of mind
- Employee assistance programs (EAP) providing support for remote team members
- Parental leave and adoption assistance for work-life integration
- Tuition reimbursement opportunities to advance your career while working remotely
- Ways to give back to your community as part of Ascension’s mission-driven culture
- Flexible scheduling that accommodates your home life while working in this remote position
About the Company
Ascension is a leading non-profit, faith-based national health system comprised of over 134,000 associates and 2,600 sites of care across 19 states, including more than 140 hospitals and 40 senior living communities. The organization is committed to transforming healthcare and providing care to all, especially those most in need.
Automated Benefits Services (ABS) is a specialized division focusing on insurance claims processing and administration within Ascension’s broader healthcare network. The company’s Mission, Vision, and Values guide everything at Ascension, empowering every associate to make a positive impact both professionally and in their communities, regardless of whether they work on-site or remotely.
Job Market Outlook
Remote claims adjuster positions have seen significant growth as insurance and healthcare organizations recognize the effectiveness of virtual work arrangements for detailed claims processing functions. The demand for experienced claims specialists who can review and adjust healthcare claims while working from home continues to increase as healthcare systems expand their virtual workforce capabilities.
Work from home opportunities in insurance claims processing represent a positive trend in the industry, offering experienced professionals the chance to contribute their expertise without geographic limitations. Ascension’s commitment to supporting remote work for claims positions demonstrates the evolution of healthcare administration toward more flexible, technology-enabled arrangements that benefit both organizations and their team members.
Exclusive Tips for Candidates
Highlight Medicaid Claims Experience
Emphasize your experience processing and adjusting Medicaid claims. Provide specific examples of how you’ve resolved complex claim issues and ensured proper benefits application while working independently or remotely.
Showcase FACETS Knowledge
Detail your experience with the FACETS claims processing system. If you have experience with this platform, highlight specific functions you’ve mastered and how you’ve used it to improve claims accuracy and efficiency.
Demonstrate Attention to Detail
Share examples of how you’ve identified subtle errors or issues in claims that others might have missed. Strong attention to detail is particularly valuable in remote claims adjustment roles where independent review is essential.
Emphasize Communication Skills
Explain your approach to clearly communicating claims adjustments and rationales to various stakeholders. Strong written communication skills are especially important when working remotely with team members and providers.
Prepare Medical Documentation Review Examples
Be ready to discuss your experience reviewing and interpreting medical documentation for claims processing. Demonstrating your understanding of medical terminology and documentation requirements will strengthen your candidacy for this remote position.
Common Questions about this Position and Company
How does Ascension support remote Claims Adjusters with system access and security?
Remote team members receive secure access to all necessary claims processing systems through encrypted connections and multi-factor authentication. Comprehensive technical support ensures that home office workers can maintain productivity while adhering to strict data security protocols.
What does the daily workflow look like for a remote Claims Adjuster?
Claims Adjusters working from home typically receive a queue of claims requiring adjustment each day through the claims management system. Regular virtual team meetings help coordinate priorities, while individual work involves detailed review, documentation assessment, and adjustment processing, with opportunities for collaboration via secure messaging when needed.
How is productivity measured for remote Claims Adjusters?
Performance assessment focuses on quality and quantity metrics including adjustment accuracy, processing volume, and timeliness. Regular quality audits ensure that remote adjusters maintain high standards, while productivity expectations are clearly communicated and monitored through claims processing systems.
What development opportunities exist for remote claims professionals at Ascension?
Remote team members can advance to senior adjuster roles, claims auditor positions, or specialized claims review functions. Ascension’s commitment to associate growth extends to remote employees through virtual training programs, mentorship opportunities, and tuition assistance for those pursuing relevant certifications or education.
How does Ascension balance quality and productivity expectations for remote adjusters?
While working remotely, Claims Adjusters receive clear guidelines that emphasize both accuracy and efficiency. The organization recognizes that quality adjustments prevent future issues and costs, so performance metrics are designed to reward thorough review rather than simply processing volume. Regular feedback and quality monitoring help remote workers maintain this balance.
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