Claims Associate

Posted 6 Days Ago
Easy Apply
Hiring Remotely in USA
Remote
Entry level
Big Data • Healthtech • HR Tech • Machine Learning • Software • Telehealth • Big Data Analytics
Garner uses data science to steer employees to the best-performing doctors.
The Role
The Claims Associate role involves evaluating claim submissions, assisting members via chat, email, and phone, and ensuring accurate, timely claims processing, all while striving to enhance the member experience through education and support.
Summary Generated by Built In

Garner's mission is to transform the healthcare economy, delivering high quality and affordable care for all. By helping employers restructure their healthcare benefit to provide clear incentives and data-driven insights, we direct employees to higher quality and lower cost healthcare providers. The result is that patients get better health outcomes while doctors are rewarded for practicing well, not performing more procedures. We are backed by top-tier venture capital firms, are growing rapidly and looking to expand our team.

Garner is looking for a full-time Claims Associate to join our high-growth Claims Processing team. 

The Claims Processing team is responsible for ensuring that our members’ claims get paid accurately and quickly. We do this by evaluating claim submissions and supporting members through the process. Ultimately, we strive to deliver a best-in-class “claims experience” for every member.

In this role, you will be on the front line of our team, evaluating claim submissions and interacting with members via chat, email, and phone to help them navigate the claims process. You will become an expert on Garner’s product, claims processing standards, and the needs of our members. The Claims Processing team is a key touchpoint for our members, so you should be passionate about helping people and a proactive problem solver.

To ensure that we can respond to issues in real time, this role has some schedule requirements. Current operations run weekdays during East Coast business hours, though that may change in the future as needs dictate. This position is fully remote.

Responsibilities Include:

  • Evaluating claims to determine whether they qualify for reimbursement
  • Delivering exceptional service to our members via phone, chat, and email, offering education and guidance to help them navigate the Garner claims process
  • Following documented best practices for handling claims and communicating with members; suggesting process improvements as you identify them
  • Manage and organize workload using Garner’s platform and tools, including Zendesk and G Suite
  • Achieving pre-defined goals for claims processing volume, efficiency, and quality
  • Triaging and escalating complex and urgent member situations
  • Retaining detail-oriented working knowledge of Garner processes and healthcare billing practices
  • Relaying member feedback to leadership teams to improve Garner’s solution

The Ideal Candidate Has:

  • A passion for helping people solve their problems with an ability to think creatively and empathetically
  • Experience working in a customer-facing or operations environment with demonstrated experience staying calm under pressure
  • Excellent written and verbal communication skills
  • A high level of detail- and process-orientation, digital organization, and resourcefulness
  • A desire to work in a rapidly evolving startup environment; comfortable with some ambiguity
  • A desire to be a part of our mission to improve the healthcare system
  • A quiet and distraction-free work environment with a reliable internet connection (ability to hard wire if needed strongly preferred)
  • A bachelor’s degree is preferred but not required

The non negotiable salary range for this position is: $20-22/hour.Individual compensation for this role will depend on a variety of factors including qualifications, skills and applicable laws. In addition to base compensation, this role is eligible to participate in our equity incentive and competitive benefits plans. 

 

Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.

 

Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at [email protected]

 

Beware of job scam fraudsters! Our recruiters use getgarner.com email addresses exclusively. We do not post open roles on Indeed, conduct interviews via text, instant message, or Teams and we do not ask candidates to download software, purchase equipment through us, or to provide sensitive information such as bank account or social security numbers. If you have been contacted by someone claiming to be a Garner recruiter or hiring manager from a different domain about a job offer, please report it as potential job fraud to law enforcement here and to [email protected]

What the Team is Saying

Pedro
Joanna
Megan
James
Bhavya
Chris
The Company
200 Employees
Remote Workplace
Year Founded: 2019

What We Do

Garner Health is a health tech startup that is transforming the healthcare economy by enabling patients to receive high-quality and affordable care. Garner Health has two core offerings: Garner, a benefit program that uses a new approach to data science and incentive accounts to help employees find the best doctors in their communities, and Garner DataPro, a provider recommendation platform that serves referrals based on the most accurate provider performance and directory data in the industry. Garner Health’s offerings utilize over 75% of the medical claims data in the United States to objectively examine patient outcomes based on more than 500 specialty-specific quality and efficiency measures. By analyzing millions of healthcare journeys across 82 distinct medical specialties, Garner Health sets a new industry standard in delivering reliable, actionable referrals and navigating patients to the highest-quality providers. Garner Health is a remote-first company based in NYC.

Why Work With Us

Our values connect us in caring deeply about doing something different and hard — transforming the healthcare economy. They create an actionable set of norms for how we operate, including how we make decisions and support one another. Learn about our values here: https://www.getgarner.com/about.

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Garner Health Offices

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Employees work remotely.

Typical time on-site: None
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