Claims Processing Associate

Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care.

As a Claims Processing Associate you will review and investigate claims, make payment determinations, as well as process and match claims data with appropriate authorizations as necessary.

In this Job, you will:

• Review electronic claims, resolve computer generated edits, determine correct payment or denial amounts, and document notes.
• Identify questionable claims and authorizations or system issues as appropriate.
• Achieve production and quality targets as set by the department.
• Adhere to all CareCentrix policies which may include but is not limited to; Mandatory HIPAA privacy program, Business Ethics and Compliance, Attendance and any additional Corporate or departmental policies.

This is the job for you if:

• You exercise good judgement and want to help patients heal at home.
• You have an ability to clearly communicate with internal and external customers.
• You are comfortable working in a fast-paced environment with multiple tasks, and possess strong organizational skills.

You should reach out if you have:

• Experience with claims processing, medical services, or medical terminology knowledge.
• A high school diploma or the equivalent.
• Minimum of one year of related work experience.
• Know every healthcare problem is unique and approach problems with questions not answers.
• Are fun to work with! We take our commitment to patients seriously, but we don't take ourselves seriously. We are looking for team members who bring joy to the work they do.

What we offer:

• Pay Range: $16.35 - $20.00 /hour plus corporate bonus incentive
• Benefits: Medical, Dental, Vision, 401(k) with company match, HSA employer contributions, Dependent Care FSA employer contribution, Paid Time Off, Personal/Sick Time, Paid Parental Leave, and more. 
• Award winning culture that keeps our company values at the heart of everything we do: We Care; We Do the Right Thing; We Strive for Excellence; We Think BIG; We Take our Work Seriously, Not Ourselves. 

CareCentrix maintains a drug-free workplace. 

We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law. 

CareCentrix accepts applications on an ongoing basis until a candidate is identified. 

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