Claims Associate Representative (Fully Remote)

EviCore; United States; Remoto; USD 28.000 - 39.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental insurance

Vision insurance

401(k) plan

PTO 18 days + holidays

Descrizione del lavoro

Evicore is seeking a remote Accounts Receivable Claims Processor to review, research, and process medical claims with accuracy and timeliness. You will investigate denials, identify root causes, and implement corrective actions to improve payment outcomes.

The role requires at least 2 years of medical claims processing experience, strong Excel skills, and the ability to interpret EOBs/EOPs while maintaining precise documentation.

Competenze

• Minimum 2 years of medical claims processing experience.
• Proficiency in Microsoft Excel.
• Ability to interpret EOBs and EOPs and maintain accurate documentation.
• Remote work with flexible leave programs.

Mansioni

• Review, research, and process accounts receivable claims accurately and within deadlines.
• Investigate denied and underpaid claims to identify root causes and implement corrective actions.
• Communicate with insurance payers and providers to resolve claim-related issues.

Conoscenze

Medical claims processing

Excel proficiency

Analytical skills

EOB/EOP interpretation

Formazione

High School Diploma

Descrizione del lavoro

• Review, research, and process accounts receivable claims accurately and within deadlines.
• Investigate denied and underpaid claims to identify root causes and implement corrective actions.
• Communicate with insurance payers and providers to resolve claim-related issues.

Requirements:

• High school diploma and at least 2 years of medical claims processing experience.
• Proficiency in Microsoft Office, especially Excel, and strong analytical skills.
• Ability to interpret EOBs and EOPs and maintain accurate documentation.
• Competitive hourly pay, medical/dental/vision insurance, and 401(k) plan.
• At least 18 days of PTO plus paid holidays, and tuition reimbursement.
• Fully remote work arrangement with flexible leave programs.