Virgin Pulse

Claims Specialist

7 days ago

Pay$16.00 - $22.00 / hour
LocationRemote
Employment typeFull-Time

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  • Job Description

      Req#: 4023
      Employer Industry: Health Technology Solutions

      Why consider this job opportunity:
      - Salary up to $22.00 hourly
      - Eligible for health, dental, vision, and mental health benefits
      - Opportunity for career advancement and growth within the organization
      - Supportive and collaborative work environment
      - Chance to make a positive impact on client satisfaction and member experience
      - Flexible remote work options based on experience and business needs

      What to Expect (Job Responsibilities):
      - Maintain quality and procedure standards, including review and examination of claims to ensure proper handling
      - Complete claims tasks in a timely manner while meeting production requirements
      - Review and understand plans, documents, and vendors, ensuring proper system setup during claims processing
      - Identify and report potential errors, problems, or issues regarding plan documents and claims processing
      - Provide direct client contact and internal staff support to ensure customer and member satisfaction

      What is Required (Qualifications):
      - High School Diploma required
      - Minimum of 2 years of claims processing experience
      - Must be computer literate and knowledgeable in Windows and Microsoft Office, including Word, Outlook, and Excel
      - Ability to establish and maintain good working relationships with clients and provide excellent customer service
      - Healthcare industry experience strongly preferred, specifically in healthcare, health insurance, medical office, or clinical experience

      How to Stand Out (Preferred Qualifications):
      - Associate Degree in Business preferred
      - 5+ years of claims processing experience in the QicLink system
      - Knowledge of insurance database systems
      - Ability to work collaboratively with others to accomplish mutual goals
      - Experience in billing or admissions at a front desk

      #HealthTechnology #ClaimsProcessing #CareerOpportunity #RemoteWork #DiversityAndInclusion

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      See how Virgin Pulse's employee well-being solution helps employees create habits that matter so they can be their best at work and at home.

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