Claims Support Associate

CareCentrix • Full-time • Remote (United States) • $16.25 - $20 / hour • 16h ago

Overview

This position receives/responds to provider inquiries on claim issues. Researches information by reviewing plan, eligibility, and authorizations to determine appropriate resolution. Works with CSC or RCM to identify areas of opportunity and recommend solutions. Completes special assignments and analyzes provider requests. Assists other departments and interacts directly with providers.

Responsibilities

In this role, you will:

Handles various inbound or outbound provider calls which include researching, resolving, and documenting issues.
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.
Tracks claim detail errors and communicates to up-line management for coaching and training purposes.
Participates in and contributes to performance improvement activities.
Participates in special projects and performances other duties as assigned.

Qualifications

You should reach out if you have:

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

What we offer:

Competitive compensation: $16.35 - $20.00/hour plus corporate bonus incentive
Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match
Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more
Advancement Opportunities, professional skills training, and tuition /exam reimbursement
PayActiv - access earned income in between pay checks
Walgreens Discount - receive up to 25% off eligible items
Great culture with a sense of community

CareCentrix maintains a drug-free workplace