Moda Health is actively hiring an Inpatient Claims Processor I for a fully remote position based out of Portland, Oregon. The role pays between $21.30 and $23.96 per hour, depending on experience. For candidates with a background in medical claims, this is a serious opportunity worth preparing for carefully.
Founded in Oregon in 1955, Moda Health has built its reputation around quality coverage and community-focused healthcare. Understanding what the company values, and what this role demands, gives you a real edge in the hiring process.
What Moda Health Actually Looks For
Moda Health is not just filling a seat. The company looks for candidates who combine technical accuracy with professional accountability. Claims processing errors cost insurers real money, so precision matters more than almost anything else here.
The company also places strong emphasis on diversity and inclusion. Moda openly invites applications from candidates who share its commitment to building diverse workplaces. Cultural fit is part of how they evaluate candidates, not just credentials.
For this specific role, Moda wants someone who can handle both Commercial and Medicaid inpatient hospital claims. That dual responsibility requires familiarity with different payer rules and compliance standards. Candidates who already understand that distinction stand out immediately.
The Core Requirements You Must Meet
Before applying, check your qualifications honestly against what Moda requires. Missing even one key requirement can push your application to the bottom of the pile.
- High school diploma or equivalent
- 1 to 2 years of medical claims processing experience
- 10-key proficiency of at least 135 words per minute
- Typing speed of at least 35 words per minute
- Knowledge of medical terminology, CPT codes, and ICD-10 codes
- Strong verbal, written, and interpersonal communication skills
- Analytical, problem-solving, and organizational abilities
- Ability to work under pressure and maintain confidentiality
Moda is transparent about pay. Applicants who do not meet the minimum qualifications will only be considered for the lower end of the pay range. Meeting all requirements gives you a stronger shot at the full $23.96 hourly rate.
Skills That Actually Get You Hired
Technical Claims Knowledge
Your familiarity with ICD-10 and CPT coding systems is non-negotiable for this position. These coding systems are the backbone of medical billing, and processors who understand them work faster and make fewer errors. Brush up on inpatient-specific billing rules before your interview.
Medicaid claims follow different processing rules than commercial insurance claims. If your experience skews toward one type, be honest about it. Showing awareness of the difference, even without deep Medicaid experience, signals professionalism.
Speed and Accuracy
The 10-key proficiency requirement of 135 wpm is a hard cutoff. Practice regularly using free online tools if you are close to that threshold. Accuracy matters as much as speed in claims work, because a fast but error-prone processor creates expensive downstream problems.
A typing speed of 35 wpm is a minimum, not a target. Coming in well above that number reflects better on your application overall.
Communication Skills
This role requires answering internal questions from multiple departments and responding to provider correspondence. Clear written communication is therefore a daily job function, not just a resume bullet point. Expect Moda to evaluate this during the interview process itself.
Understanding the Hiring Process
Moda Health uses a structured hiring process typical of mid-sized health insurance companies. Here is what candidates generally experience when applying for roles at this level.
- Online application: Submit through the official company page. Include a resume that highlights claims processing experience prominently.
- Application review: HR screens for minimum qualifications first. Missing requirements will likely remove you from consideration early.
- Phone screen: A recruiter will typically call to verify your background, confirm salary expectations, and assess communication skills.
- Skills assessment: Expect a typing or 10-key test at some stage. Some companies also include a basic medical coding or claims knowledge assessment.
- Hiring manager interview: This is where technical knowledge and cultural fit get evaluated in depth.
- Background check and offer: Standard pre-employment steps before the final offer is extended.
The process can move quickly for strong candidates. Responding to recruiter emails and calls promptly keeps your application active and signals professionalism.
How to Prepare for the Interview
Preparation separates candidates who interview well from those who simply have the right resume. Moda Health interviewers will likely focus on real scenarios from your past work experience.
Expect Behavioral Questions
Questions like "Tell me about a time you caught an error in a claim" or "How do you manage a high volume of claims without sacrificing accuracy" are common. Use the STAR method, which stands for Situation, Task, Action, and Result, to structure your answers clearly.
Practice answering out loud before the interview. Remote interviews often feel less natural than in-person ones, and practicing helps you sound confident rather than rehearsed.
Demonstrate Knowledge of the Role
Come prepared to discuss the difference between inpatient and outpatient claims. Know what makes inpatient claims more complex, including DRG-based reimbursement and longer hospital stay documentation requirements. Interviewers notice when candidates understand the specific job, not just general claims work.
Review basic Medicaid billing guidelines for Oregon if possible. Showing familiarity with state-specific rules signals that you took the role seriously before walking into the interview.
Ask Thoughtful Questions
Prepare two or three questions that show you are thinking about the role long-term. Ask about team structure, claim volume expectations, or how performance is measured. Avoid questions focused solely on time off or schedule flexibility in a first interview.
How to Stand Out as a Candidate
Many applicants will meet the basic qualifications. Standing out requires showing Moda something more than a checklist of credentials.
Tailor your resume to this specific position. Use language from the job posting directly. Mention inpatient claims, ICD-10, CPT codes, and Medicaid by name. Applicant tracking systems often scan for keyword matches before a human ever reads your resume.
Highlight measurable achievements where possible. Saying you processed 150 claims per day with a 99 percent accuracy rate is far more compelling than simply listing "medical claims processing" as a skill.
Moda values confidentiality and professionalism as explicit requirements in this posting. Bring that up during the interview. Mention how you have handled sensitive patient or provider information in past roles. This directly addresses something the company cares about.
Since this is a fully remote position, demonstrate that you can work independently without close supervision. Describe your home workspace briefly if asked. Employers hiring for remote roles want to know you have the discipline and setup to perform without a physical office environment.
Benefits Worth Knowing Before You Apply
Beyond the hourly pay, Moda offers a strong benefits package that adds real value to total compensation. Candidates comparing multiple offers should factor these in.
- Medical, dental, vision, pharmacy, life, and disability coverage
- 401K with matching contributions
- Flexible Spending Account
- Employee Assistance Program
- Paid time off and company paid holidays
For an entry-level claims role, this benefits package is competitive. The 401K matching in particular represents meaningful long-term financial value beyond the base wage.
Moda Health has spent nearly seven decades building a healthcare company rooted in Oregon communities. Joining as an Inpatient Claims Processor I puts you inside a company with real stability and a clear mission. Candidates who prepare thoroughly, demonstrate accurate technical knowledge, and communicate professionally have a strong foundation for a successful application. Apply directly through the job listing at RemoteOK to be considered for this position.
