Temporary NSA Claims Data Coordinator
At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
We are seeking multiple temporary associates:
- This is a temporary position which is expected to last 60 to 120 days.
- A 5 to 10 day training class is provided. New associates will need to work 8:00 to 4:30 pm CT during the training.
- After training, you can determine your own schedule anytime between 7:00 am and 5:00 pm CT
JOB SUMMARY
This position supports the department by reviewing, researching and preparing incoming client and provider submissions for next steps as it relates to No Surprise Act. Position will perform a variety of administrative duties to ensure proper processing of information timely and accurately to maintain departmental quality and turn around requirements.
DUTIES
- Analyze email and/or portal submissions to create cases, attach appropriate documentation, populate applicable required system fields, prepare submission accordingly for next steps.
2. Perform timely data entry in all applicable systems and perform timely outreach to providers and/or clients to obtain necessary information.
3. Perform claim and system research and determine next steps for appropriate routing, which may include adjustment of medical claims.
4. Log information derived from written and verbal communications using detailed and accurate documentation.
5. Meet required production and quality standards.
6. Provide excellent customer service and strive to continuously improve service delivery according to departmental and corporate guidelines and principles.
7. Collaborate, coordinate, and communicate across disciplines and departments.
8. Ensure compliance with HIPAA regulations and requirements.
9. Demonstrate Company's Core Competencies and values held within.
10. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High-Risk Role.
11. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE: The incumbent works under general supervision in a self-directed and results oriented manner. The incumbent works within established standards and procedures, relying on a broad range of knowledge gained through experience to complete job responsibilities. Work involves support tasks with moderate to high complexity with more complex issues referred to higher levels.
COMPENSATION
The salary range for this position is $17 per hour. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance and 401k.
Preferred Qualifications
REQUIREMENTS
* Minimum High School Diploma or GED
* Minimum 1 year experience in healthcare environment required, experience with medical claims processing highly desired
* Knowledge of word processing and spreadsheet software, MS Office, required.
* Excellent communication, organization and attention to detail skills
* Ability to follow through and work under deadlines
* Service oriented, flexible and ability to work under pressure
* Works well in both individual and team environments.
* Required licensures, professional certifications, and/or Board certifications as applicable
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone
EEO STATEMENT
Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.
APPLICATION DEADLINE
We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.
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Top Skills
What We Do
Claritev is an independent and public healthcare technology, data and insights company making healthcare more transparent, fair and affordable for all. We work across the healthcare value chain to expose imbalanced and inefficient pricing practices. Led by deeply experienced analysts, negotiators and innovators, Claritev provides tech-enabled solutions and services fueled by proprietary data from over 40 years of experience. Today, along with machine learning and AI, we utilize a robust enterprise platform to deliver price transparency, improve payment accuracy, and drive more meaningful analytics and decision-making.
Through Claritev, providers are able to make data-enabled decisions to optimize their service offerings, market position and ultimately deliver high-quality care. Payors and third-party administrators can deliver greater flexibility and value to plan sponsors. Employers can drive cost-efficient benefit design and patients can finally afford the care they need.
By focusing on customized solutions that that improve transparency, affordability and quality for all key players, we’re igniting a more competitive marketplace — one that lowers overall costs while improving quality. Claritev brings the transparency our nation needs to see its way to a better healthcare system.
