Associate Business Process Services – Mailroom & Claims Team
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Job Description
Associate Business Process Services role handling complex claims and appeals for healthcare. Work remotely, adjudicating and analyzing trends while ensuring HIPAA compliance.
Responsibilities:
- Adjudicate, research, and review complex claims and appeals
- Analyze trends and generate reports on claims and appeals activity
- Investigate and respond to claim appeals with well-supported decisions
- Represent and support appeal determinations in hearings and preparation meetings
- Ensure HIPAA compliance, maintain confidentiality, and provide team support as needed
Requirements:
- Strong verbal/written communication and literacy
- Knowledge of Microsoft products (Outlook, Word, Excel, and TEAMS)
- Demonstrated ability to analyze information and think strategically
- High proficiency, with exceptional level of accuracy required
- Proven ability to work independently and as part of a team
- Claims processing or other experience in healthcare, health insurance, or Medicaid is preferred.
Benefits:
- generous, flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- a variety of leadership and technical development academies
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