Claims Resolution Specialist - Free Healthcare Benefit for Entire Family!

At Redirect Health, we’re on a mission to make healthcare accessible and affordable for everyone. We are currently accepting applications for Claims Resolution Specialist roles. Are you detail-oriented with a passion for problem-solving? Join our team as a Claims Resolution Specialist and play a cr itical role in supporting the Complex Claims team by ensuring timely and accurate processing of claims and appeals and always advocating for Redirect members during their care journeys. This position requires collaboration with stakeholders, excellent communication, and the ability to deliver high-quality results in a fast-paced environment. Why Join Us? We’re redefining healthcare by removing the financial burden for our team members and their families. Here's what FREE healthcare means for you: No premiums No co-pays No deductibles No out-of-pocket maximums That’s right—your entire family gets access to comprehensive, free healthcare. On average, this benefit saves our team members $20,000 annually. It’s our way of ensuring you can focus on what matters most—your health and well-being. What You’ll Do as a Claims Resolution Specialist As part of the Redirect Health team, you’ll play a vital role in delivering exceptional support by: Communicating effectively with internal/external stakeholders to obtain necessary information for document processing while maintaining professionalism. Delivering routine work and providing general information per established procedures, meeting deadlines appropriately. Entering claims into appropriate databases, applying foundational knowledge to determine claim placement or bridging with existing records. Maintaining accurate member records by updating data fields, ensuring correct identification of policyholders, accounts, or claims. Meeting or exceeding departmental quality and service standards. Performing basic transactions related to claims programs and services while acquiring core knowledge required for the role. Providing customer service to internal/external stakeholders, recognizing needs, and demonstrating flexibility to meet them. Reviewing and providing general responses to basic inquiries or concerns from stakeholders. Reviewing incoming correspondence to ensure completeness and accuracy, and routing as needed. Supporting change management initiatives and contributing to process improvements within the department. Complying with state and federal regulations, as well as company policies and procedures. Making positive contributions by suggesting improvements and learning new skills, procedures, and processes. Performing other duties as required. What We’re Looking For High School Diploma or GED, required. 1-2 years of administrative support, customer service, and/or data entry directly related to claims processing, required. 1-2 years of medical claims or appeals experience, preferred. Proficiency in Microsoft Word, Excel, and an Electronic Medical Record system, preferred. What You’ll Earn Pay starts at $20.75/hour FREE Healthcare Benefit for You and Your Family – No payroll deduction. Dental & Vision Insurance. Paid Sick & Vacation Time. Access to a 401K saving plan after 6 months. Flexible Work Options Location: 2020 N. Central Avenue, Phoenix, AZ, 85004