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Claims Support Associate

Posted 5 months agoViewed

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💎 Seniority level: Entry, Experience working in a customer service or operations environment

💸 Salary: 20.0 - 22.0 USD per hour

🔍 Industry: Healthcare

🏢 Company: Garner Health👥 51-100💰 $45,000,000 Series B about 3 years agoBusiness IntelligenceBig DataMedicalEmployee BenefitsHealth Care

🗣️ Languages: English

⏳ Experience: Experience working in a customer service or operations environment

🪄 Skills: Communication SkillsAnalytical SkillsCollaborationC (Programming language)Customer service

Requirements:
  • Passion for helping people and problem-solving.
  • Experience working in a customer service or operations environment.
  • Excellent written and verbal communication skills.
  • High level of detail-orientation, digital organization, and resourcefulness.
  • Desire to work in a rapidly evolving startup environment with some ambiguity.
  • Desire to contribute to improving the healthcare system.
  • A quiet and distraction-free work environment with a reliable internet connection.
Responsibilities:
  • Deliver exceptional support to members via phone, chat, and email.
  • Evaluate claims to determine reimbursement qualification.
  • Follow best practices for claims handling and member communication.
  • Suggest process improvements as identified.
  • Manage and organize workload using Garner's platform and tools.
  • Achieve predefined goals for claims processing volume, efficiency, and quality.
  • Triaging and escalating complex member situations.
  • Retain detail-oriented knowledge of Garner processes and healthcare billing practices.
  • Relay member feedback to leadership for improvement.
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  • Superior organizational skills and the ability to prioritize workload.
  • Working knowledge of personal computer including Google Docs, Sheets and other relevant applications.

  • Gather necessary information from documents and customer conversations to set up and assign claim files with complete and accurate information.
  • Manage a queue of tasks timely and effectively to ensure claims adjusters have the information they need.
  • Manage incoming mail (electronic, physical, and fax) and upload to the correct claim.
  • Prepare standard form letters and claim closing documents.

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Posted 2 months ago
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