Healthcare jobs
OperationsRemote
Contract Claims Processor (Month to Month)
Sana Benefits Remote Posted Oct 27
About the role
All of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system.
What you'll do
- Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary.
- Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties.
- Become an in-house expert on all claims-related matters and provide answers and support to Customer Success and Customer Support teams.
- Identify operational issues and escalate them to the appropriate internal team.
- Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.
- Work independently and as part of a team to meet deadlines and daily processing quotas. Your success will be measured on your ability to complete daily and weekly targets.
What you'll need
Sana Benefits lists the full requirements on its posting.