3 дня назад
Claims Coordinator
15$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Coordinator (Healthcare Claims): Processing and coordinating healthcare claims by reviewing notifications, validating documents, entering claim data, and routing cases with an accent on accuracy, reimbursement analysis, and HIPAA compliance. Focus on identifying missing information, preparing appeal letters, updating claim records, and escalating complex claims to processing leads.
Location: Remote - US
Salary: $15.00 per hour; non-exempt position.
Company
is a healthcare intelligence company providing an AI-powered platform and expertise to health plan clients to improve payment outcomes and reduce healthcare costs.
What you will do
- Monitor incoming healthcare claim notifications and verify that required documents are complete and legible.
- Set up claims, enter data, assign statuses, and perform initial analysis of claims, EOBs, bills, policies, and correspondence.
- Combine, extract, rename, and transfer claim documents according to established procedures.
- Enter UB04 data, adjust systems to reflect correct reimbursement and savings, and prepare appeal letters.
- Escalate problematic claims and notify claim processing leads when information is missing or illegible.
- Maintain compliance with HIPAA and other security requirements.
Requirements
- Minimum typing speed of 40 words per minute.
- Strong data-entry skills with a high degree of accuracy.
- Intermediate to advanced computer proficiency, including Microsoft Office Suite, Adobe Acrobat, and work across multiple monitors.
- Ability to quickly learn company-specific software.
- Exceptional attention to detail, organization, analytical reasoning, critical thinking, and interpersonal collaboration skills.
- Ability to work remotely from the United States.
Culture & Benefits
- PTO, paid holidays, and volunteer days.
- Eligibility for health, vision, and dental coverage.
- 401(k) participation with company match and flexible spending accounts.
- Tuition reimbursement, life insurance, short-term disability, and parental leave.
- Values include asking why, thinking big, humility, customer impact, and delivering results.
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