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5 дней назад

Claims Trainee (Healthcare Claims)

Формат работы
hybrid
Тип работы
fulltime
Грейд
trainee
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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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

hirify.global 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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