Claims Processor

2 weeks, 6 days ago
Full-time
Junior
Customer and Technical Support
Trident BPO

Trident BPO

We are a best-in-class business process outsourcing recruiting company. We help entrepreneurs and small businesses meet their staffing/operational needs at a fraction of the cost. This includes -Marketing -Customer service -Virtual assistants -Sales -Technology Support -Analytics -Customized Staffing

staffing & recruiting
1-10

Description

  • Process complex health insurance and health share claims from intake through resolution.
  • Manage claim escalations, billing disputes, and legacy or backlog claim work.
  • Review and audit work completed by offshore claims team members.
  • Identify patterns and flag payment integrity issues.
  • Collaborate with senior leadership on process improvements and workflow efficiency.

Requirements

  • 2+ years of health insurance or TPA claims processing experience.
  • Experience processing complex health insurance or health share claims end-to-end, from intake through resolution.
  • Experience handling claims escalations, billing disputes, or legacy/backlog claim work.
  • Professional fluency in English.
  • Authorized to work in the United States.
  • Based in the United States.
  • Available to work 8:00am–5:00pm Central Time (CST).
  • Experience collaborating with senior leadership on process improvements or workflow efficiency initiatives.
  • Experience reviewing or auditing work completed by an offshore claims processing team (preferred).
  • Proficiency using Google Sheets for day-to-day claims processing work (preferred).
  • Experience using SAVVOS, IPS, or Healthcloud in a production claims processing environment (preferred).
  • Familiarity with health share, self-funded, or employer-sponsored health plans (preferred).

Benefits

  • Competitive salary of $55,000–$60,000 per year.
  • Unlimited PTO.
  • Paid US holidays.
  • Full-time remote work arrangement.

Interested in this position?

Apply directly on the company website

Apply Now

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