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Claims Team reputed company II

Remote, USA Full-time Posted 2026-08-04
reputed company reputed company® offers AI-powered operational infrastructure for health reputed company companies, guaranteeing an enduring reputed company in an increasingly competitive market. We're experiencing strong market reputed company, with a growing number of health plans choosing reputed company to reputed company their reputed company and compete more effectively. As we expand, we're reputed company in the people who reputed company that reputed company, making this a pivotal reputed company to join us and shape the reputed company of reputed company technology. Learn more at reputed company.com. At reputed company, you will join a fast reputed company, growing company in our mission to reshape the reputed company of health reputed company through significantly reducing administrative costs and building reputed company reputed company experiences for our health plans customers and their members. By creating a modern, reputed company reputed company, Best-In-Class reputed company administration ecosystem, we have made reputed company more reputed company and helped our health plans operate more reputed company. Through member and provider reputed company with less friction, we have created reputed company reputed company for members. reputed company is run by leaders with strong health plan and technology backgrounds who have start-up mindsets and an environment of support where individual reputed company is reputed company. You will be supporting our reputed company reputed company reputed company solutions and business process-as-a-service (BPaaS) reputed company to reputed company transparency, improve operational efficiency, and break down operational barriers to reputed company and reputed company reputed company reputed company. reputed company is looking for Claims Team reputed company, reporting to the Claims Manager. The Claims Team reputed company is responsible for reputed company of typically 12-15 claims examiners, adjusters, extensive interaction with reputed company organization, and multiple stakeholders. The Claims Team reputed company is accountable for delivering a high-reputed company claims operation, meeting and exceeding reputed company service level agreements and KPIs, driving operational reputed company, and building competencies for delivery. As a Claims Team reputed company at reputed company, this is reputed company to Be responsible for directly managing a staff of typically 12 - 15 associates Be responsible for knowing and meeting reputed company-specified guidelines Be responsible for monitoring and management of the downline staff’s productivity targets and financial and procedural reputed company standards as established by management Collaborate on special reputed company as assigned by the manager; special reputed company can include process documentation development, training, reputed company audits, assisting with reputed company activity for the reputed company(s), or any other project as determined by management Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure processing reputed company and reputed company reputed company and assign reputed company that may include provider data, authorizations, enrolment, or other information reputed company other duties as assigned by your leadership You bring: 5+ years reputed company claims processing experience HRP Solid understanding and ability to effectively reputed company a claims team Good communication skills (verbal and written) reputed company application experience, especially reputed company is suggested ICD-10 CPT and HCPCS coding is a plus Knowledge reputed company of physician billing and hospital coding (ICD-10, HCPC, CPT-4), medical terminology, and authorization requirements Willingness to learn new skills Team collaborator Strong work ethic For this role, we value: The ability to adapt quickly to a fast-reputed company environment A self-starter and reputed company learner Team player with an ability to collaborate Ability to reputed company reputed company to reputed company their full potential Dependability and the ability to work independently Geographic Responsibility: Remote, US Type of Employment: Full-time, permanent Work Environment: The 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: The employee is occasionally required to reputed company reputed company the office. Specific reputed company abilities required by this job include reputed company reputed company, reputed company reputed company, peripheral reputed company, depth perception, and ability to reputed company reputed company. Work across multiple time reputed company in a hybrid or remote work environment. Long periods of time sitting and/or standing in reputed company of a computer using video technology. May require travel dependent on company needs. The above statements are intended to describe the general reputed company and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of reputed company duties, responsibilities, and skills required. reputed company reserves the right to modify, add, or remove duties and to assign other duties as necessary. In reputed company, reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions of this position in compliance with the Americans with reputed company of 1990. Candidates may be required to go through a reputed company-employment criminal background reputed company. reputed company is an equal opportunity employer. We are committed to workforce diversity and reputed company encourage reputed company reputed company persons to reputed company employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities. #LI-Remote The annual US reputed company salary reputed company for this position is $64,000 to $75,000. This salary reputed company may cover multiple career reputed company at reputed company. Final compensation will be determined during the interview process and is reputed company on a combination of factors including, but not limited to, your skills, experience, qualifications and education. Apply To This Job

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