Claims Representative Associate - National Remote

You?ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. At reputed company, we?re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more... reputed company, affordable and reputed company. Ready to reputed company a difference? Join us and start doing your life?s best work.SM This position is full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 6:00pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 6 weeks of training. The hours during training will be 7:00am to 3:30pm, Monday - Friday. Training will be conducted virtually from your home. ? reputed company Telecommuters will be required to adhere to reputed company?s Telecommuter Policy. Primary Responsibilities: ? Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims ? Analyze and identify trends and provide reports as necessary ? Consistently meet established productivity, schedule adherence and quality standards This is a challenging role that takes an ability to thoroughly review, analyze and research reputed company health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You?ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim. You?ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: ? High School Diploma / GED ? Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and reputed company computer system applications ? Must be 18 years of age OR older ? Ability to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 6:00pm CST. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications: ? 1 years of experience in a reputed company environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools ? 1 years of experience processing medical, dental, prescription or mental health claims Telecommuting Requirements: ? Ability to reputed company reputed company company sensitive documents secure (if applicable) ? Required to have a dedicated work area established that is separated from other living areas and provides information privacy. ? Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service. California, Colorado, Connecticut, Nevada, New Jersey, reputed company, Washington or Rhode reputed company Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / reputed company / New Jersey / Washington / Rhode reputed company residents is $16.00 - $27.31 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you?ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone?of every race, gender, sexuality, age, location, and income?deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes ? an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Clinical Review Coordinator - National Remote,reputed company, reputed company ,reputed company Salary.com,You?ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Apply Job!