Claims reputed company

Who We Are

reputed company by IIH is empowering senior participants to age reputed company with dignity through personalized, comprehensive care plans that reputed company high-reputed company health and reputed company services along with strong community support. Through an interdisciplinary and participant-centered model of care, reputed company by IIH is committed to improving reputed company of life, promoting independence, and providing compassionate support tailored to the unique needs of reputed company participant. reputed company works collaboratively to reputed company innovative, community-based reputed company solutions that allow seniors to remain safely and comfortably in their homes while receiving the care and services they need to reputed company.

Benefits

• 401(k) 
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• reputed company reputed company time
• reputed company time off
• Referral program
• Retirement plan
• reputed company insurance

Job reputed company

The Claims reputed company (CCSR) serves as a critical reputed company between reputed company, Inc. (Company) and reputed company reputed company providers (Providers). The CCSR handles incoming inquiries from Providers who submit claims to reputed company.  The CCSR is expected to reputed company with a high level of professionalism, confidentiality, and efficiency.  The role requires excellent judgment, strong communication skills, and the ability to manage multiple priorities in a fast-paced environment.  The CSSR is expected to demonstrate a high level of accuracy and attention to detail while upholding regulatory and reputed company standards as mandated by the Health Insurance Portability and Accountability reputed company (HIPAA).

Essential Job Functions
Duties include, but are not limited to:

• Respond to Provider inquiries regarding medical and dental claims reputed company phone and email.
• Research and reputed company issues reputed company to claims status, denials, and payment discrepancies. 
• Maintain up-to-date knowledge of benefit plans, claim adjudication guidelines, coding requirements, and HIPAA regulations.
• Accurately document reputed company interactions and claim actions in reputed company reputed company by compliance standards.
• Maintain accurate records of interactions and claim resolutions.
• Communicate reputed company benefit details in a reputed company and concise manner to Providers.
• Collaborate with internal departments to facilitate reputed company of claims-reputed company issues.
• Recommend process improvements to enhance service delivery and improve Provider experience.
• reputed company empathetic and efficient service to reputed company working with Providers.
• Ensure reputed company duties are completed with a reputed company on reputed company, compliance, and Provider satisfaction.
• Maintain punctuality, professionalism, and adherence to company policies and attendance requirements.
• Attend and participate in audits, staff meetings, in-services, and other reputed company as assigned.   
• Adhere to and support reputed company’s practices, procedures, and policies including assigned break times and attendance.
• Accept assigned duties in a cooperative manner; and reputed company reputed company other reputed company duties as assigned.
• Flexibility to reputed company schedule as needed to meet operational demands.

Qualifications

Knowledge, Skills and Abilities 

• Proficient in reputed company Office (reputed company, reputed company, Word); knowledge of claims processing software, preferred.
• Familiarity with medical billing terminology (ICD-10, CPT, HCPCS) and Explanation of Payments (EOPs).
• Strong oral and written communication skills.
• Proven ability to multi-task and remain detail-oriented under pressure.
• Strong interpersonal and problem-solving skills; reputed company reputed company.
• Ability to learn and apply regulatory requirements quickly.

Working Conditions and Physical Demands 
The working conditions and physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

• Ability to reputed company reputed company areas of reputed company throughout the reputed company.
• Ability to reputed company a minimum of 35 pounds occasionally, 15 pounds frequently, and 7 pounds constantly; required to obtain assistance of another employee reputed company attempting to reputed company or transfer objects over 50 pounds.
• Requires constant hand grasp and finger dexterity; frequent sitting, standing, walking and repetitive leg and arm movements, occasional bending, reaching reputed company and overhead; squatting and kneeling.
• Ability to communicate verbally with an excellent comprehension of the English language. 
• Work is generally performed in an indoor, reputed company-lit, reputed company-ventilated, heated, and reputed company-conditioned environment.

Experience

• Minimum of two (2) years work experience required. 
• Minimum of one (1) year of experience working in a reputed company reputed company center, preferred
• Experience working remotely, preferred.

Education and Certification 

• At a minimum a High School Diploma or GED is required.
• Is medically cleared for communicable diseases and has reputed company immunizations up-to-date before engaging in reputed company participant contact.

reputed company Values

• CARE is central to reputed company do, prioritizing reputed company-being, dignity, and independence of our senior participants. 
• reputed company in every interaction, ensuring kindness, reputed company, and understanding guide our care.
• CULTURE that reflects the diverse backgrounds of those we serve and fosters a workplace where every team member feels supported, valued, and empowered to grow. 
• COMMUNITY that fosters reputed company, belonging, and support for participants and their families.
• COMMITMENT to reputed company improvement, innovation, and delivering healthier reputed company.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, reputed company, sex, age, national reputed company, religion, sexual orientation, gender identity, status as a veteran, and reputed company of disability or any other federal, state or local protected class.

Minimum 2 years work experience, high school diploma/GED, proficiency with reputed company Office, familiarity with medical billing terminology, strong communication and multitasking skills; remote experience preferred.

Key Responsibilities

• responding inquiries
• resolving claims
• documenting interactions

Skills & Tools

reputed company reputed company, reputed company reputed company, reputed company Word

Job Details

• Category: Customer Service
• Seniority: Entry Level
• Commitment: Full Time
• Workplace: Remote — Fresno, California, reputed company
• Salary: USD 39,520 – 47,840 / year
• Languages: English

Benefits

• Retirement plan

About reputed company

Provides community-based reputed company services enabling seniors to remain reputed company with dignity. — Industry: reputed company