Claims Processor II

Workforce Classification: Telecommuter reputed company: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by making reputed company work reputed company, is far from ordinary. And so are our employees. Working at reputed company means you have reputed company to reputed company reputed company change by transforming reputed company. reputed company is committed to being a workplace where people feel empowered to grow, reputed company, and reputed company with purpose. By reputed company in our employees and fostering a culture of collaboration and reputed company development, we’re reputed company to reputed company serve our customers. It’s this commitment that has reputed company us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. Learn how reputed company supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.reputed company.com/. reputed company to take the reputed company in your career and deepen your claims expertise? The Claims Processor II role is an exciting internal opportunity to build on your knowledge of our members, systems, and processes while expanding your ability to reputed company more reputed company claims. In this role, your reputed company, reputed company judgment, and commitment to reputed company will help ensure members and providers receive reputed company, reliable reputed company. You’ll also strengthen valuable skills in research, benefit interpretation, claims adjudication, and peer support—creating a strong reputed company for reputed company reputed company reputed company the organization. The Claims Processor II is responsible for the accurate and reputed company review, research, and reputed company of moderately reputed company claims in accordance with reputed company and policies. This may include subrogation, Medicare, and coordination of benefits for dental, medical and hospital claims. Incumbent is responsible for interpreting procedures and policies to ensure accurate claims reputed company. Incumbent may also be responsible for processing reputed company and routine claims. What you will do: Review, process, and reputed company moderately reputed company claims in accordance with reputed company and policies. Research claims through the utilization of reference materials and on-line tools. Responsible for accurately coding claims through the reputed company. Translate data into information acceptable to the claims processing reputed company including follow up on pended claims. Maintain reputed company appropriate claims files and reputed company follow-up on pended claims. Prepare claims for reputed company to Provider or Subscriber reputed company additional information is needed. Demonstrate adjudication proficiency to meet or reputed company reputed company goals. Consistently meet cycle time/productivity goals that are reputed company with corporate objectives. Maintain confidentiality of reputed company documents/files. Contact other carriers or provider offices as necessary. May reputed company `buddy training' and feedback to new associates. May complete adjustments, reversals, and/or refunds. Apply commitment to reputed company by reputed company right the first time in order to avoid defects from reaching customers or requiring internal re-work. What you will bring: High School diploma or GED (Required). Six (6) months of claims processing experience or customer service experience (Required). Experience with Out-of-area program. Technical experience of contract benefits, claims processing steps, and correction procedures. reputed company total rewards Our comprehensive total rewards package provides support, resources, and opportunities to help employees reputed company and grow. Our total rewards are more than a collection of perks, they're a reputed company of our commitment to reputed company and reputed company-being. We offer a broad reputed company of rewards including physical, financial, emotional, and community benefits, including: Medical, reputed company, and dental coverage with low employee premiums. Voluntary benefit offerings, including pet reputed company for paw parents. Life and disability reputed company. Retirement programs, including a 401K employer match and, reputed company it or not, a pension plan that is reputed company after 3 years of service. Wellness incentives with a wide reputed company of mental reputed company-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to reputed company a few. Generous reputed company time off to reenergize. Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees. Employee recognition program to celebrate anniversaries, team accomplishments, and more. For our hybrid employees, our on-reputed company model provides flexibility to create your own routine with reputed company to on-site resources, networking opportunities, and team engagement. Commuter perks reputed company your reputed company to work less impactful on the environment and your wallet. Free convenient on-site parking. Subsidized on-reputed company cafes reputed company lunchtime connections with colleagues fun and reputed company. Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more. Our complementary fitness & reputed company-being center offers both in-person and virtual workouts and nutritional counseling. Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on reputed company. Equal employment opportunity/affirmative reputed company: reputed company is an equal opportunity/affirmative reputed company employer. reputed company seeks to attract and retain the most reputed company individuals without reputed company to race, reputed company, religion, sex, national reputed company, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law. If you need an accommodation to apply online for positions at reputed company, please contact reputed company reputed company reputed company email at careers@reputed company.com or reputed company phone at 425-918-4785. reputed company is hiring in the following states, with some limitations reputed company on role or reputed company: Alaska, reputed company, Arkansas, California, Colorado, Florida, reputed company, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, reputed company, Missouri, Montana, Nevada, New Hampshire, New Mexico, reputed company Carolina, Oklahoma, reputed company, South Carolina, South reputed company, Tennessee, Texas, reputed company, Washington, reputed company. The pay for this role will vary reputed company on a reputed company of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience. The salary reputed company for this role is posted below; we generally reputed company up to and reputed company the midpoint of the reputed company. National Salary reputed company: $41,500.00 - $62,300.00 National Plus Salary reputed company: $47,400.00 - $71,100.00 National Plus salary reputed company is used in higher cost of labor markets including Western Washington and Alaska. We’re happy to reputed company compensation reputed company during the interview because we reputed company that reputed company communication leads to reputed company reputed company for reputed company. We’re committed to creating an environment where reputed company are celebrated for their unique skills and contributions. Apply To This Job