5 дней назад
Claims Trainee (Healthcare Claims)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Trainee (Healthcare Claims): Reviewing, validating, routing, and processing Medicare-related healthcare claims with an accent on accurate data handling, coverage evaluation, and workflow compliance. Focus on learning Facets, conducting preliminary claim investigations, resolving claim issues, and meeting performance-based training requirements.
Location: Remote within a 50-mile radius of Chattanooga, Tennessee; training is primarily virtual with some on-campus shadowing opportunities.
Company
provides health insurance services, including coverage and claims support for Medicare-eligible members.
What you will do
- Review, input, validate, and process healthcare claims data according to coverage requirements.
- Route claim issues to the appropriate support areas and follow up through completion.
- Assist with claim analysis, final determinations, and administrative support across the claims process.
- Gather and document relevant information for preliminary claim investigations.
- Use Facets and workflow tools to support timely and accurate claim resolution.
- Work overtime when required.
Requirements
- High school diploma or equivalent.
- Proficiency with Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
- Strong oral and written communication, interpersonal, organizational, time-management, decision-making, and problem-solving skills.
- Ability to work independently, learn complex workflows, pass required testing, and meet performance expectations.
- Must live within a 50-mile radius of Chattanooga, Tennessee.
Culture & Benefits
- Full-time employee position in the Senior Care Claims Department.
- Training starts October 26, 2026 and lasts approximately 12 weeks.
- Training hours are 8:00 AM–4:30 PM ET, Monday through Friday.
- After training, employees may start between 5:00 AM and 9:00 AM ET, with shifts ending by 6:00 PM ET.
- Opportunity to gain experience with Facets and develop claims-processing expertise.
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