Work From Home, United States
Job Description
At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
Do you know someone who you think would be a great fit for this position? To share this job with someone, click the refer-a-friend icon at the top of this page. This icon is to the right of the star icon.
The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The duties require an intermediate knowledge of the subrogation process. Responsibilities include sorting scanning incoming correspondence, data entry, and creating new Subrogation cases.
JOB ROLES AND RESPONSIBILITIES:
1. Completing data entry and new case creation.
2. Reviewing claims.
3. Retrieving, imaging and prioritizing the daily incoming mail
4. Performing ISO Index searches and identifying accidents to refer to Subrogation Specialists.
5. Generating and processing IQ batches with guidance for the Subrogation Business Analyst.
6. Obtaining information such as claims and plan documents from client remote systems.
7. Processing outgoing mail and certified mail.
8. Processing incoming emails, faxes, and voicemails onto the Discovery Case Management system.
9. Collaborate, coordinate, and communicate across disciplines and departments.
10. Ensure compliance with HIPAA regulations and requirements.
11. Demonstrate Company's Core Competencies and values held within.
12. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
The incumbent keeps the needs of external and internal customers as a priority when making decisions and taking action. The incumbent relies on established guidelines, policies, and procedures, allowing for little to no exercise of independent judgment. Accurate and timely processing of claim documents and requests directly impacts company revenue and client savings.
Requirements
JOB REQUIREMENTS (Education, Experience, and Training):
* High School Diploma or GED with 1+ years of experience in an office environment, prefer experience in medical claims industry
* Typing skills of a minimum of 45 wpm
* The ability to ask questions to uncover the information needed
* Basic knowledge of working computers/scanners
* Strong communication and client interfacing skills
* Basic knowledge of the Microsoft Office 365 tools
* Required licensures, professional certifications, and/or Board certifications as applicable
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone
COMPENSATION
The salary range for this position is $18.50/hr. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
- Medical (PPO & HDHP), dental and vision coverage
- Pre-tax Savings Account (FSA & HSA)
- Life & Disability Insurance
- Paid Parental Leave
- 401(k) company match
- Employee Stock Purchase Plan
- Generous Paid Time Off – accrued based on years of service
- WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
- 10 paid company holidays
- Tuition reimbursement
- Employee Assistance Program
- Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
EEO STATEMENT
Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.
