Claims Processor

Claims ProcessorLocation: West Valley City, UtahType: ContractJob #87684APR Consulting, Inc. has been engaged to identify a Claims ProcessorLocation: West Valley City, UT 84120 (Hybrid - once a month onsite)Position: Claims ProcessorPay Rate: $25.84/hrDuration: 3 months with a possibility of extensionSCHEDULE: Schedule: Hybrid (Training Onsite; Remote with 1 onsite day/month) | Day Shift | 3-Month Assignment | Utah-based candidates onlyRequirements:2-3+ years of experience in healthcare revenue cycle, claims processing, eligibility, benefits, or authorizationsExperience obtaining authorizations for home health patientsProficiency in Epic and experience with payer portals or RCM systemsStrong understanding of payer rules, reimbursement methodologies, and claims adjudicationExperience auditing accounts and resolving complex claim discrepancies across multiple systemsAbility to verify eligibility, benefits, and authorization requirements accuratelyAbility to work independently, troubleshoot root-cause issues, and drive claims to resolutionAbility to complete onsite training and attend 1 required onsite day per monthPreferred Requirements:Experience in a Central Business Office or shared services modelExperience supporting home health or hospice service linesExperience working with Utah-based or multi-state payer networksExperience identifying claim trends and contributing to process improvement discussionsSummary / Duties:This non-clinical role supports the Central Business Office within Revenue Cycle Management, focusing on eligibility, benefits, and authorization activities for home health patients.The specialist performs comprehensive audits across the claims lifecycle, verifies coverage and authorization requirements, and resolves complex discrepancies impacting reimbursement.Responsibilities include obtaining authorizations in Epic, conducting payer follow-up on delayed or denied claims, validating documentation, and coordinating with clinical and internal teams to ensure accurate claim determinations.This is a hands-on resolution role requiring independent problem-solving and root-cause analysis rather than basic claim processing.The position begins with onsite training in West Valley City and transitions to remote work with one required onsite day per month.This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.