Healthcare Claims Processor
N/A, OFFSITE
Experience: 0
Category: Healthcare
Contractor Work Model: Remote
Brand: 851-Rockville-S1
Shift: On-Site
Job ID: 343808
Date Posted: 12/02/2025
Shortcut: http://jobs.systemone.com/bHBThc
Job Title: Healthcare Claims Processor
Type: Contract
Compensation: $21/HR
Contractor Work Model: 100% Remote
ALTA IT Services 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.
#M-2
#LI-AJ1
Ref: #850-Rockville (ALTA IT)
-
Provider Relations Rep
Baltimore, MD
Job Title: Provider Relations Rep Location: Once a month Onsite meetings in Owings Mills, Baltimore or Columbia, MD. Type: Contract Compensation: $35/HR Contractor Work Model: Mostly Remote The Provider Relations Representative is responsible for devel...
Date Posted: 11/10/2025 Recommended
-
Onboarding Specialist
Boston, Massachusetts
Job Title: Onboarding Specialist Location: United States(EST or CST preferred) Type: Contract Contractor Work Model: Remote Title: Onboarding Specialist ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized work...
Date Posted: 12/23/2025 Recommended
-
Accounts Payable Specialist
Baltimore, MD
Job Title: Accounts Payable Specialist Type: Contract Compensation: $27 Contractor Work Model: Remote ALTA IT Services is staffing a 3+ month contract for an Accounts Payable Specialist to support a leading health insurance customer. The individual wil...
Date Posted: 11/20/2025 Recommended
-
Medicaid/Medicare Customer Service Representative
N/A, OFFSITE
Job Title: Medicaid/Medicare Customer Service Representative (CSR) Type: 3-month Contract Compensation: $21/HR Contractor Work Model: Remote Purpose The Medicaid/Medicare Customer Service Representative is responsible for responding to member, provider...
Date Posted: 12/23/2025 Recommended
-
Medicaid/Medicare Customer Service Representative
N/A, OFFSITE
Job Title: Medicaid/Medicare Customer Service Representative (CSR) Type: 3-month Contract Compensation: $21/HR Contractor Work Model: Remote Purpose The Medicaid/Medicare Customer Service Representative is responsible for responding to member, provider...
Date Posted: 12/23/2025 Recommended
-
Onsite Support Technician
Spring Grove, Pennsylvania
Job Title: Onsite Support Technician Location: Spring Grove, Pennsylvania Type: Contract – Long Term Contractor Work Model: Onsite Hours: Daytime – 8 AM – 5 PM General Position Description: Provide high-quality onsite IT support to internal users, focu...
Date Posted: 12/03/2025 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: 11/13/2025 Recommended
-
Healthcare Project Manager
Baltimore, MD
Job Title: Healthcare Project Manager Location: Once a month Onsite meetings in Owings Mills, Baltimore or Columbia, MD. Compensation: $45.50 Type: Contract Contractor Work Model: Mostly remote The Project Manager supports the planning, coordination, a...
Date Posted: 11/10/2025 Recommended
-
Salesforce Agentforce Developer
Columbia, MD
Salesforce Agentforce Developer Multiyear Contract Hybrid- One day a week in MD/DC/VA client offices Candidates must reside in the local DMV area W2 Hourly Pay Rate: $50/hr. ALTA IT Services has a 12-month+ contract opening for a Salesforce Agentforce ...
Date Posted: 12/18/2025 Recommended
-
Controls Specialist
Surry, VA
Job Title: Controls Specialist Location: Surry, VA Type: Contract Contractor Work Model: Onsite SUMMARY: Proficiently performs assignments having the knowledge, skills, abilities, and experience needed to carry out all aspects of the job exercises inde...
Date Posted: 12/03/2025 Recommended
-
ServiceNow Developer
Alexandria , Virginia
ServiceNow Developer Location: Alexandria, VA or D.C. (hybrid) Hourly Rate: $50/HR Min Citizenship Status Required: Must be a U.S. Citizen per client requirement ALTA IT Services has a long-term contract opening for a ServiceNow Developer. This is a hy...
Date Posted: 12/05/2025 Recommended
-
Computer Assembly Technician
Christiansburg, VA
Job Title: Computer Assembly Technician Location: Christiansburg, VA Type: Contract Compensation: $17.08 - $17.08 hourly Contractor Work Model: Onsite System One has an immediate need for a Computer Assembly Technician, in Christiansburg, VA. This is a...
Date Posted: 12/01/2025 Recommended
-
Revenue Cycle Specialist / Biller and Coder
Frisco, Texas
Job Title: Revenue Cycle Specialist Location: Frisco & Carrollton, Texas (Onsite) Hours/Schedule: Full-time, Monday–Friday Type: Direct Hire Overview A growing neurology practice with multiple locations in the Frisco and Carrollton areas is seeking an ...
Date Posted: 10/08/2025 Recommended
-
Communications Specialist
Fairfax, Virginia
Job Title: Communications Specialist Type: Contract To Hire Compensation: $45/HR Contractor Work Model: Hybrid- In DC, VA and MD (location varies on meetings) The Communications Specialist supports strategic and tactical communications for diverse audi...
Date Posted: 12/05/2025 Recommended
-
Inventory Control / Shipping Specialist
Lakewood, NJ
Job Title: Inventory Control / 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 Inventory Control / Shipping Specialist Job Dutie...
Date Posted: 12/18/2025 Recommended
-
LTSS Coordinator - Nevada
Las Vegas, Nevada
Job Title: LTSS Coordinator - Nevada Location: Nevada Type: Contract Compensation: $33/Hour Contractor Work Model: Remote Title: LTSS Coordinator - Nevada ALTA is supporting a 5-month contract opportunity working 100% remote. Candidates can reside anyw...
Date Posted: 12/19/2025 Recommended
-
Workers Comp Attorney
El Segundo, CA
Job Title: Workers Comp Attorney Our client is a cutting-edge law firm that provides high-quality litigation defense for the Workers’ Compensation industry. The firm develops lasting relationships with clients through superior legal services at signifi...
Date Posted: 10/06/2025 Recommended
-
SOC Analyst
Huntsville, VA
Job Title: SOC Analyst Location: Huntsville, AL Openings: Mid- Senior Level Clearance: Top Secret Salary: $75,000-$145,000 depending on years of experience Mid Level SOC Analyst Shifts Available: Sun-Wed: 12pm-10pm Wed-Sat: 12pm-10pm Sun-Wed: 9pm-7am W...
Date Posted: 10/28/2025 Recommended
-
Department Admin
Newark, NJ
Job Title: Department Admin Location: Newark, NJ Type: Contract Compensation: $17 - $18 hourly Contractor Work Model: Onsite Hours: 8a-5p, M-F Description: Support the Landlord Services Department by making calls and following up with landlords regardi...
Date Posted: 11/18/2025 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
-
Sales Manager
Jersey City, New Jersey
Job Title: Sales Manager Location: Jersey City, New Jersey Type: Direct Hire Compensation: $100,000 annual base + commission Contractor Work Model: Onsite Hours/Shift: Standard business hours, plus field travel as needed Job Overview The Sales Manager ...
Date Posted: 12/08/2025 Recommended
-
Collateral Underwriter
Tulsa, Oklahoma
Collateral Underwriter Responsibilities: Review and analyze collateral documentation to ensure compliance with agency and investor guidelines Evaluate property appraisals, title commitments, and other supporting documents for accuracy and completeness ...
Date Posted: 11/24/2025 Recommended
-
Systems Administrator
Tulsa , Oklahoma
Overview We are seeking a detail-oriented and proactive Systems Administrator to manage, maintain, and support our client’s IT infrastructure. The ideal candidate will ensure the stability, integrity, and efficient operation of the company's systems, n...
Date Posted: 12/19/2025 Recommended
-
Legal Specialist
Vienna , VA
Job Title: Legal Specialist Location: Onsite of Hybrid Work Model Reporting to: Pensacola, FL, Vienna, VA and Winchester, VA Pay Rate: Open to Both C2C and W2 options Position Type: Multiyear Contract Job Description: The Legal Specialist provides lega...
Date Posted: 12/15/2025 Recommended
-
Bilingual Customer Service Representative
Milwaukee, Wisconsin
Job Title: Bilingual Customer Service Representative Location: Milwaukee, Wisconsin Type: Contract To Hire Compensation: $21/Hour Contractor Work Model: Onsite Hours: 8a-5p, M-F Overview We’re seeking a bilingual (Spanish-speaking) customer-focused pro...
Date Posted: 12/22/2025 Recommended
-
Estimator - Commercial Construction
Houston, Texas
Job Title: Estimator - Commercial Construction Location: Houston, Texas Type: Direct Hire Contractor Work Model: Onsite System One is partnering with a Commercial Construction Specialty Contractor in hiring an Estimator to work out of their NW Houston ...
Date Posted: 10/30/2025 Recommended
-
Controller
Tulsa, OK
Controller – Managed Care / Health Plan Salary: $150,000 – $175,000 annually MUST HAVE Managed Care and Health Plan experience Candidates without this experience will not be considered. About the Role System One is seeking an experienced Controller to ...
Date Posted: 12/23/2025 Recommended
-
System Administrator
Quantico, Virginia
System Administrator Quantico, VA - ONSITE Compensation: $125,000 annually Security Clearance: Active TS/SCI is required Major Duties & Responsibilities: • Plan, install, and maintain computer systems, including physical and virtual servers, storage ar...
Date Posted: 12/03/2025 Recommended
-
Animal Technician
Boston, Massachusetts
Job Title: Animal Technician Location: Boston, Massachusetts Type: Contract To Hire Compensation: $21 hourly Contractor Work Model: Onsite Hours: 7am to 3:30pm Requirements: - Minimum of High School Diploma - Exp. with care of Animals (mice and rats) -...
Date Posted: 12/23/2025 Recommended
-
Quality Oversight
Orville, Ohio
System One is seeking a NDE Quality Oversight professional for a long-term contract to hire, full time opportunity, onsite in Orville, Ohio. The ideal candidate will have a strong background in nuclear quality assurance, NDE, and fabrication operations...
Date Posted: 12/16/2025 Recommended