Healthcare Claims Processor

N/A, OFFSITE

Apply Apply with LinkedIn
Save

Type: Contract

Experience: 2

Education: High School, GED

Category: Healthcare

Contractor Work Model: Remote

Brand: System One

Job ID: 345836

Date Posted: 02/03/2026

Shortcut: http://jobs.systemone.com/StNE2H


Job Title: Healthcare Claims Processor

Type: Contract
Compensation: $21/HR
Contractor Work Model: 100% Remote


System One is staffing a contract to hire opportunity for a Healthcare Claims Processor to support a leading health insurance customer. The individual will review and adjudicate paper/electronic claims, also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies, and procedures allowing timely considerations to be generated using multiple systems.

Must have: FACETS v. G6

ESSENTIAL FUNCTIONS

  • Performs claims adjudication for complex medical claims.
  • Performs regular auditing.
  • Schedules regular meetings with key provider groups to provide reporting and work through claim resolution issues.
  • Handles provider phone calls and emails regarding claims.
  • Generates weekly Claims Resolution reports for management in accordance with schedule set by supervisor.

Requirements:

  • Required: High school education plus at least 2 years of experience in claims or related field.
  • Abilities/Skills: Must be detail-oriented, have good time management and organizational skills, analytical skills, written and oral communication skills, PC skills
  • Knowledge of Microsoft excel, Adobe PDF, ICD-10 and Medicaid.
  • Having a Laptop/PC
  • The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M1
#LI-AJ1


Ref: #851-Rockville-S1

  • Utilization Management Coordinator

    Baltimore, MD

    Job Title: Utilization Management Coordinator Location: Baltimore, MD(remote, but must live in the DMV area) Type: Contract Compensation: $25 hourly Contractor Work Model: Remote PURPOSE: Supports the Utilization Management clinical teams by assisting ...

    Date Posted: 02/18/2026 Recommended

  • Health Insurance Broker Coordinator

    Baltimore, MD

    Job Title: Health Insurance Broker Coordinator Location: Baltimore or Columbia, MD - Hybrid, mostly remote Type: Contract Contractor Work Model: Mostly remote. Report once a month for team meeting, plus as needed to: Baltimore, MD or Columbia, MD Compe...

    Date Posted: 02/19/2026 Recommended

  • Broker Support Coordinator (Health Insurance)

    Columbia, Maryland

    Broker Support Coordinator (Health Insurance) Primarily Remote | Temporary | Baltimore, MD (Occasional Onsite) About the Role We’re supporting a health insurance broker management team during a high-volume busy season and are looking for a hands-on Bro...

    Date Posted: 12/19/2025 Recommended

  • Medical Front Desk Representative

    Tulsa, OK

    Job Title: Medical Front Desk Representative Location: Tulsa, OK Pay: $17–$18/hour Job Type: Contract-to-Hire Schedule: Full-Time | Onsite System One is currently hiring a Medical Front Desk Representative for a mid-size specialty clinic in Tulsa. Posi...

    Date Posted: 02/18/2026 Recommended

  • Quality Assurance Specialist III

    N/A, OFFSITE

    Medical Coding Quality Assurance Specialist Location: Remote Job Type: Contract to hire Salary: $36.92/HR Objective: A major Blue Cross Blue Shield health plan is seeking an experienced Quality Assurance Specialist with strong medical coding audit expe...

    Date Posted: 02/19/2026 Recommended

  • Clinical Research Nurse

    Rochester, New York

    Clinical Research Nurse Contract Length: 6 months with strong potential for permanent hire Compensation: $40–$50/hour, based on experience Start Date: ASAP We are seeking a skilled Clinical Research Nurse to support clinical trial operations at a well-...

    Date Posted: 02/18/2026 Recommended

  • Electrical, Instrumentation, and Controls Technician

    Spring Grove, Pennsylvania

    Job Title: Electrical, Instrumentation, and Controls Technician Location: Spring Grove, Pennsylvania Type: Direct Hire Base Hourly Rate: E/I & C Level I: $38.71; E/I & C Level II: $40.88; E/I & C: Level III: $43.04; Senior E/I & C Technician: $45.04. N...

    Date Posted: 01/08/2026 Recommended

  • HR Assistant

    Pittsburgh, PA

    Job Title: HR Assistant Location: Pittsburgh, PA Type: Direct Hire Contractor Work Model: Onsite SUMMARY: The Human Resources Assistant is responsible for providing Human Resources support to assigned functional areas of the HR Department for the Compa...

    Date Posted: 02/06/2026 Recommended

  • Business Support Specialist

    Merrifield, VA

    Job Title: Business Support Specialist Location: Hybrid Work Model Reporting to Vienna, VA or Pensacola, FL Pay Rate: Open to Both C2C and W2 options Position Type: Multiyear Contract Qualifications • Ability to work independently and in a team environ...

    Date Posted: 02/06/2026 Recommended

  • Vendor Contracts Manager

    Vienna , VA

    Job Title: Contracts Administrator Location: Hybrid Work Model Reporting to Vienna, VA Pay Rate: Open to Both C2C and W2 options Position Type: Multiyear Contract Description Contracts Administrator needed to support InfoSec TPRM Security Vendor Manage...

    Date Posted: 01/23/2026 Recommended

  • Resident Sales Associate (Inside Sales)

    Jersey City, New Jersey

    Job Title: Resident Sales Advisor Location: Jersey City, NJ Hours / Schedule: 9AM – 5PM OR 10AM – 6PM (Monday – Friday); Onsite Type: Direct Hire Compensation: $70,000 annually + commission (5% New Clients / 4% Recurring and Dormant Orders) This compan...

    Date Posted: 01/20/2026 Recommended

  • Maintenance Technician

    Kansas City, Missouri

    Job Title: Maintenance Technician Location: Kansas City, MO Hours/Schedule: Monday–Friday, 8:00 am to 4:00 pm Compensation: $29/hour Performs maintenance and repairs on production and facility equipment to reduce downtime and support operational effici...

    Date Posted: 02/20/2026 Recommended

  • Packaging Technician 1st shift

    Monmouth Junction, New Jersey

    Job Title: Packaging Technician (1st shift) Location: Monmouth Junction, New Jersey Type: Contract To Hire Compensation: $18/hour Contractor Work Model: Onsite Schedule: Monday through Thursday (5AM to 3PM) Packaging Technician (1st Shift) The Packagin...

    Date Posted: 01/23/2026 Recommended

  • Warehouse / Logistics Associate

    Batesburg-Leesville, South Carolina

    Job Title: Warehouse / Logistics Associate Location: Batesburg-Leesville, South Carolina Type: 6 month Contract Compensation: $18 - $18.50 hourly Contractor Work Model: Onsite Hours: 4 days per week/10 hours per day (from 7:00am – 3:30pm System One is ...

    Date Posted: 02/12/2026 Recommended

  • Accounts Payable Specialist

    Columbia , MD

    Job Title: Accounts Payable Specialist Type: Contract Compensation: $27 Contractor Work Model: Hybrid- 3 days in office Location- Columbia, MD ALTA IT Services is staffing a 3+ month contract for an Accounts Payable Specialist to support a leading heal...

    Date Posted: 02/10/2026 Recommended

  • Warehouse Operator

    Pottstown, PA

    Job Title: Warehouse Operator Location: Pottstown, PA Type: Contract Compensation: $24.20 Contractor Work Model: Onsite Hours: 3rd shift – 11pm - 7am Sunday through Thursday Duties and Responsibilities: Responsible for all material control functions in...

    Date Posted: 01/06/2026 Recommended

  • Electrician

    Vienna , VA

    Job Title: Electrician Location: Onsite in Vienna, VA Pay Rate: Open to Both C2C and W2 options Position Type: Multiyear Contract Description: To install, alter, maintain and repair emergency power systems, electrical systems, UPS systems and electrica...

    Date Posted: 01/22/2026 Recommended

  • Informatica Administrator

    Leesburg, VA

    Job Title: Informatica Administrator Location: Hybrid, out of Baltimore, MD Position Type: Long Term Contract Pay Rate: Negotiable Requirements • Perform day-to-day operational support, administration, and troubleshooting for enterprise applications an...

    Date Posted: 02/06/2026 Recommended

  • Amazon Shipping Specialist

    Lakewood, NJ

    Job Title: Amazon Shipping Specialist Location: Lakewood, NJ Type: Contract To Hire Compensation: $20.00 - $25.00 hourly Contractor Work Model: Onsite Hours: 9:00 AM-5:00 PM | Monday-Friday Amazon Shipping Specialist Job Duties: Monitor, track, and mai...

    Date Posted: 01/23/2026 Recommended

  • Business Data Analyst

    Topeka, KS

    Data Analyst Client is looking for a Business/Data Analyst to join the Data Office and support its instrumentation of associated Data Products. This individual will perform business and data requirements analysis and provide support and analysis of dat...

    Date Posted: 02/12/2026 Recommended

  • Records Management Tech

    Tulsa, Oklahoma

    Job Title: Records Management Tech Location: Tulsa, Oklahoma Type: Contract Compensation: $20 hourly Contractor Work Model: Onsite System One is seeking candidates for a contract position to assist our client with various document control and records m...

    Date Posted: 02/06/2026 Recommended

  • Account Manager – Engineering & AEC Staffing

    Overland Park, Kansas

    Job Title: Account Manager – Engineering & AEC Staffing Location: Overland Park, Kansas Type: Direct Hire Contractor Work Model: Remote but must be local to Kansas City area Job Brief A System One Account Manager is responsible for building long-term, ...

    Date Posted: 02/06/2026 Recommended

  • Functional Oracle Fusion HCM Consultant

    Ashburn, Virginia

    Oracle HCM Consultant Location: Onsite 5 days/week in Falls Church, CA Position Type: 1 Year Contract with Opportunity to extend Pay Rate: Open to W2 and C2C Candidates must be eligible to work in the US (Visa Holders Accepted) Requirements As an HCM C...

    Date Posted: 01/21/2026 Recommended

  • Operator-Disc Cell

    Lancaster, PA

    Job Title: Operator-Disc Cell Location: Lancaster, PA Type: Contract To Hire Contractor Work Model: Onsite Hours: Mon-Fri 6:30am-3pm Job Summary: Operator 2 performs production processes and operates various machines including soak, punch, Double Disc ...

    Date Posted: 01/12/2026 Recommended

  • Field Designer

    Phillips, Wisconsin

    Job Title: Field Designer Location: Phillips, Wisconsin Type: 6 month Contract Compensation: $30.00 - $31.50 hourly Contractor Work Model: Hybrid Hours: Monday and Friday remote, Tues - Thurs office or on-site (30% field work) System One is currently s...

    Date Posted: 01/30/2026 Recommended

  • Clinical Research Coordinator (part-time)

    New Haven, Connecticut

    Job Title: Clinical Research Coordinator (Part-Time) Location: New Haven, CT Type: Contract Compensation: $36 - $45 hourly Contractor Work Model: Onsite Position Overview We are seeking a detail-oriented and experienced Clinical Research Coordinator (C...

    Date Posted: 01/26/2026 Recommended

  • Mechanical Engineers - BOP

    Easley, South Carolina

    Mechanical Engineer – Balance of Plant (BOP) | Contract (Remote) Company: System One Location: Fully Remote Immediate Need: Feb 2026 – Dec 31, 2026 with possible extension Positions: 2 System One is seeking two Mechanical Engineers with Balance of Plan...

    Date Posted: 01/27/2026 Recommended

  • LabView Test Engineer

    Batesburg-Leesville, South Carolina

    Job Title: LabView Test Engineer Location: Batesburg-Leesville, South Carolina Type: Contract LabView Test Engineer Accountabilities: Ensure the implementation of assigned actions as per the manufacturing action plan (i.e., audit, failure analysis, imp...

    Date Posted: 12/18/2025 Recommended

  • Quality Engineer

    Phillipsburg, NJ

    Job Title: Quality Engineer Location: Phillipsburg, NJ Type: Contract Compensation: $40 - $45 hourly Contractor Work Model: Onsite Quality Engineer 6 month assignment. Maybe longer Possesses knowledge of FDA 21 CFR 820, ISO 13485, ISO 14971, and intern...

    Date Posted: 02/13/2026 Recommended

  • Operator-Ring Cell

    Lancaster, PA

    Job Title: Operator-Ring Cell Location: Lancaster, PA Type: Contract To Hire Contractor Work Model: Onsite Hours: Mon-Fri 6:30am-3pm Ring Cell- Machinist Job Summary: Operator performs advanced production processes and operates various machines includi...

    Date Posted: 01/12/2026 Recommended