UST · 1 week ago
Claims Examiner II
United States
Full-time
Remote
Entry Level
$40K/yr - $44K/yr
1+ years expUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. The Claims Examiner II is responsible for the adjudication of healthcare claims utilizing specific policies and procedures, processing assigned claims, and mentoring junior team members.
ConsultingInformation ServicesInformation Technology
Responsibilities
Be responsible for processing assigned claims based on client-specified guidelines or as directed by the team leader
Be responsible for meeting productivity targets, financial and procedural accuracy standards as established by management
Mentor junior members of the team
Collaborate with other team members on special projects as assigned by the team leads; special projects can include process documentation development, training, quality audits, assisting with surge activity for the client(s), or any other project as determined by the team leader
Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT, HCPCS, and ICD-10, UB04, CMS 1500, authorizations, medical terminology, and concepts of healthcare
Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure processing accuracy and quality
Qualification
Required
Solid understanding and ability to analyze claim data
ICD-10 CPT and HCPCS coding, is a plus
High School degree required
1 - 3 years of healthcare claims processing experience
Willingness to learn new skills
Team collaborator
Strong work ethic
The ability to adapt quickly to a fast-paced environment
A self-starter and quick learner
Team player with an ability to collaborate
Benefits
Up to 16 days of paid vacation per year
6 days of paid sick leave each year (pro-rated for new hires throughout the year)
10 paid holidays
Paid bereavement leave
Participate in the Company’s 401(k) Retirement Plan with employer matching
Medical, dental, and vision insurance
Basic life insurance
Accidental death and disability insurance
Short- and long-term disability benefits
Purchase additional voluntary short-term disability benefits
Participate in a Health Savings Account (HSA)
Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
Potential for quarterly incentive-based bonuses and or commissions depending on role
Company
UST
UST is a Digital Transformations Solutions Provider.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$250MKey Investors
Temasek Holdings
2018-06-27Private Equity· $250M
Leadership Team
Krishna Sudheendra
CEO
Alexander Varghese
Chief Administrative Officer & COO
Recent News
Orange County Business Journal
2026-01-24
2026-01-20
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