Claims Processor
APR Consulting, Inc. has been engaged to identify a Claims Processor
Location: West Valley City, UT 84120 (Hybrid – once a month onsite)
Position: Claims Processor
Pay Rate: $25.84/hr
Duration: 3 months with a possibility of extension
SCHEDULE: Schedule: Hybrid (Training Onsite; Remote with 1 onsite day/month) | Day Shift | 3-Month Assignment | Utah-based candidates only
Requirements:
- 2–3+ years of experience in healthcare revenue cycle, claims processing, eligibility, benefits, or authorizations
- Experience obtaining authorizations for home health patients
- Proficiency in Epic and experience with payer portals or RCM systems
- Strong understanding of payer rules, reimbursement methodologies, and claims adjudication
- Experience auditing accounts and resolving complex claim discrepancies across multiple systems
- Ability to verify eligibility, benefits, and authorization requirements accurately
- Ability to work independently, troubleshoot root-cause issues, and drive claims to resolution
- Ability to complete onsite training and attend 1 required onsite day per month
Preferred Requirements:
- Experience in a Central Business Office or shared services model
- Experience supporting home health or hospice service lines
- Experience working with Utah-based or multi-state payer networks
- Experience identifying claim trends and contributing to process improvement discussions
Summary / 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.
Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!
APR Consulting, Inc., is one of the most trusted talent acquisition and workforce solutions providers in the United States. Known for exceptional responsiveness, agile strategies, and consistently high-level talent, the firm has become a go-to for organizations and managed services providers navigating complex change and urgent challenges. Since its founding in 1980, APR has transformed from a California IT-focused staffing firm to a full-service solutions provider filling a wide range of positions and serving over eight industries — including aerospace and defense, healthcare, IT, telecom, hospitality/gaming, sports/entertainment, government, and utilities –– in all 50 states, with a loyal roster of more than 850 specialized professionals.