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Modivcare
Modivcare
Sponsor pentru viza H1BAsigurare de sănătateAsistență medicalăTransport
Modivcare este o companie de servicii medicale care îi ajută pe oameni să își gestioneze nevoile complexe de îngrijire prin transport medical non-urgent, îngrijire personală, monitorizare virtuală și la distanță a pacienților, gestionarea bolilor cronice, livrarea de mese și asistență la domiciliu. Serviciile sale sprijină planurile Medicaid și Medicare Advantage, agențiile de stat, sistemele de sănătate, profesioniștii din domeniul medical și furnizorii de servicii de transport. Prin combinarea tehnologiei, a datelor și a sprijinului coordonat, Modivcare contribuie la abordarea factorilor sociali determinanți ai sănătății și îi ajută pe membri să acceseze servicii esențiale și să beneficieze de continuitatea îngrijirii.
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Locurile de muncă ale companiei

Claims Analyst III

Modivcare is hiring a remote Claims Analyst III in the United States to audit claims, resolve payment discrepancies, and improve claims systems. The role handles complex claim issues and includes mentoring junior team members.

USStatele Unite ale Americii
60.800 $ – 80.000 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăSpecialist în daune

Descriere

  • Put claims processes in place to improve efficiency and accuracy
  • Check claims data entered into the system for accuracy
  • Track claims system performance
  • Resolve claims issues and work with systems design teams to implement new features
  • Check claims for irregularities, accuracy, and completeness
  • Request any additional information needed to process claims
  • Manage documentation, invoice disputes, and account payments
  • Analyze accounts and investigate payment or account discrepancies
  • Verify transactions and speed up claims issue resolution
  • Resolve complex issues, escalating only the most difficult cases to higher-level staff
  • Guide, coach, and mentor junior team members
  • Take part in other projects and duties as assigned

Cerințe

  • Bachelor’s degree, or an equivalent combination of education and experience
  • More than five years of experience
  • Strong knowledge of claims processing and sound judgment when assessing claim eligibility
  • Careful attention to detail and accurate data entry skills
  • Intermediate skills with Microsoft Word, Excel, and Outlook
  • Analytical ability to interpret claim data and follow established guidelines
  • Strong verbal and written communication skills with a customer-focused approach
  • Problem-solving skills to address claim issues and resolve discrepancies
  • Ability to work both independently and as part of a team
  • Typing speed of at least 35 words per minute and 10-key proficiency

Beneficii

  • Medical, dental, and vision insurance
  • Employer-paid basic life insurance and accidental death and dismemberment coverage
  • Voluntary life insurance for employees, spouses, and children
  • Health care and dependent care flexible spending accounts
  • Pre-tax and post-tax commuter and parking benefits
  • 401(k) retirement savings plan with company match
  • Paid time off
  • Paid parental leave
  • Short-term and long-term disability coverage
  • Tuition reimbursement
  • Employee discounts on retail, hotels, food, restaurants, car rentals, and more

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