Facets Claims Processors - COB - ITS Home Host

Huron · Remote, United States

The Opportunity

At Huron, we’re redefining what a consulting organization can be. We help them transform for the future. Find out how you can use your talents and develop your skills to make an impact immediately. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.

Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; an employee stock purchase plan; a generous Paid Time Off policy; Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. Through a combination of strategy, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their future.
Huron’s HDTx Payer Services team is seeking experienced Facets Claims Examiners for an hourly assignment supporting a large payer with processing complex healthcare claims operations. This role is ideal for claims professionals with strong Facets expertise, sound judgment, and demonstrated experience manually reviewing and processing claims that require detailed analysis and interpretation.

Manually review, evaluate, and process healthcare claims within the Facets platform.
Research and resolve complex claim scenarios requiring interpretation of benefits, plan provisions, payment rules, and supporting documentation.
Process claims involving Coordination of Benefits (COB) and/or ITS Home/Host, including validation of primary and secondary payer responsibility.
Identify claim discrepancies, determine appropriate resolution, and document claim-processing decisions accurately.
Apply established policies, procedures, and client-specific requirements while meeting quality and productivity expectations.
Escalate claims issues, system concerns, or processing trends when additional review is required.
Collaborate with team members and client stakeholders to support timely and accurate claim resolution.
Must have current and hands-on experience as a Facets Claims Examiner, with advanced working knowledge of Facets claims processing (not Configuration).
Demonstrated experience

manually

processing healthcare claims, including complex and exception-based scenarios.
Current experience manually processing either Coordination of Benefits (COB) or ITS Home/Host claims.
Ability to analyze claim details, benefit information, and supporting documentation to make accurate processing decisions.
Strong attention to detail, critical-thinking skills, and commitment to quality.
This role is available as a

Project Consultant W2 hourly contract only

, with rates ranging from $30-35/hour

based on relevant experience. Citizens

, and we are unable to consider H-1B, C2C, or 1099 candidates. Project duration subject to change.

Remote

Project Consultant (Fixed Term) Country