Temporary BPaaS Claims Processor at HealthEdge | Torre
Temporary BPaaS Claims Processor
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HealthEdge

Temporary BPaaS Claims Processor

HealthEdge
Posted by
Alexander Saltzman
K
Stephen Krupa
Emma
Emma
You'll unburden healthcare by ensuring equitable and effective claims processing for all.
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Full-time

Legal agreement: Employment

Compensation is to be agreed upon.
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Remote (for United States residents)
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Shared by
Emma of Torre.ai
 about 14 hours ago

Requirements and responsibilities

Who We Are:UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.You Are:UST HealthProof is looking for Claims Examiner II, reporting to the Claims Team Leader. The Claims Examiner II is responsible for the adjudication of healthcare claims utilizing specific policies and procedures.The Opportunity:Be responsible for processing assigned claims based on client-specified guidelines or as directed by the team leaderBe responsible for meeting productivity targets, financial and procedural accuracy standards as established by managementMentor junior members of the teamCollaborate with other team members on special projects as assigned by the team leads; special projects can include process documentation development, training, quality audits, assisting with surge activity for the client(s), or any other project as determined by the team leaderKnowledge base around physician practices and hospital coding, billing and medical terminology, CPT, HCPCS, and ICD-10, UB04, CMS 1500, authorizations, medical terminology, and concepts of healthcareEstablish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure processing accuracy and qualityThis position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.What You Need:Solid understanding and ability to analyze claim dataICD-10 CPT and HCPCS coding, is a plusHigh School degree required1 - 3 years of healthcare claims processing experienceWillingness to learn new skillsTeam collaboratorStrong work ethicFor this role, we value: The ability to adapt quickly to a fast-paced environmentFor this role, we value: A self-starter and quick learnerFor this role, we value: Team player with an ability to collaborateGeographic Responsibility: Remote, USWork Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this
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