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Ready to Process Claims That Directly Impact Member Care? We're looking for a dedicated professional who understands that efficient claims processing is essential to member satisfaction and healthcare access. As our Claims Specialist, you'll perform critical daily activities that ensure timely, accurate processing for our clients while maintaining the highest standards of quality and compliance.
Job Responsibility:
Process claims efficiently: Handle daily claims processing activities for Personify Health clients, ensuring accuracy and timeliness in all transactions
Maintain quality standards: Work in high-paced office environment while focusing on tasks and consistently performing in compliance with policies and procedures
Meet production requirements: Adhere to work schedule and regularly attend work to meet client and production requirements while managing assigned deadlines
Support team success: Interact professionally with coworkers, clients, and customers while contributing to positive, collaborative work environment
Demonstrate reliability: Maintain ability to work on computer, multitask effectively, and consistently perform tasks according to established standards
Requirements:
High school diploma or equivalent required
Computer literacy with knowledge of Windows and Microsoft Office environment
Proficiency in Word and Outlook (Excel and insurance database systems experience a plus)
Ability to read and interpret documents, instructions, correspondence, and memos
Capability to write routine reports and correspondence
Skills to present information effectively in one-on-one and small group situations
Ability to compute rate, ratio, and percent and interpret bar graphs
Capacity to apply common sense understanding to written, oral, or diagram instructions
Problem-solving abilities for standardized situations involving concrete variables
Excellent interpersonal and communication skills with strong customer orientation
Ability to work in high-paced call center environment
Professional demeanor and collaborative approach to teamwork
Nice to have:
Excel and insurance database systems experience a plus