Healthcare Claims Support Associate

• Handles various inbound or outbound provider calls which include researching, resolving, and documenting issues.
• Participates in special projects and performances other duties as assigned.
• Handles RCM authorization and intake changes required for claims and billing processing within a 48 hour turn-around time frame.
• Analyzes data and determines if CareCentrix claims processing guidelines have been followed correctly by researching plan, eligibility, and patient authorization information.
• Participates in and contributes to performance improvement activities.
• Tracks claim detail errors and communicates to up-line management for coaching and training purposes.

• Knowledge of basic spreadsheet / word processing / data entry and basic math skills required.
• Must have minimum 1 year work experience.
• High School Diploma or the equivalent required
• Knowledge of Claims Management and URAC standards preferred.
• Two years of customer service, claims processing, medical terminology, medical services or equivalent experience required.

• Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
• Advancement opportunities, professional skills training, and tuition Reimbursement
• Incentive bonus, Profit Sharing, generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
• Great culture with a sense of community.

We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.