ECRP Analyst/Liaison

Remote Jobs; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare solutions provider based in the United States is seeking an experienced candidate for claims processing. This role requires at least 3 years of experience in claims processing or customer service. Ideal candidates will have strong knowledge of claims payment methodology and be proficient with PC applications. Flexible work options, paid time off, and comprehensive benefits are offered.

Benefits

Competitive pay

Paid time off

Health insurance starting on Day 1

401(k) plan with employer contributions

Tuition reimbursement

Qualifications

• Minimum of 3 years of experience in claims processing and/or customer service.
• In-depth knowledge of claims payment methodology.
• Healthcare or Managed Care experience is preferred.

Responsibilities

• Investigate and enter data related to Out of Area ECRP claims processing.
• Provide telephone customer service on the ECRP Hotline.
• Research and reconcile invalid member claims.

Skills

Customer service

Claims processing

Data entry

Research and reconciliation

Typing speed of 45 wpm

Education

Associate's Degree or equivalent work experience

Bachelor's Degree preferred

Job description

Employer Industry: Healthcare Solutions

Why consider this job opportunity:

• Competitive pay with flexible work solutions, including remote options and hybrid schedules
• Paid time off, including holidays and opportunities for volunteering
• Health insurance coverage for you and your dependents starting on Day 1
• 401(k) plan with employer contributions
• Tuition reimbursement to support your professional development
• Opportunity to make a meaningful impact on the lives of millions through healthcare services

What to Expect (Job Responsibilities)

• Investigate and enter data related to Out of Area ECRP claims processing and adjustments
• Provide telephone customer service to internal and external clients on the ECRP Hotline
• Research and reconcile invalid member claims for submission to the Facet processing system
• Manage and process all ECRP provider appeals throughout the entire process
• Maintain a tracking log of all Plan to Plan telephone inquiries and assist in claim updates

What is Required (Qualifications)

• Minimum of 3 years of experience in claims processing and/or customer service
• In-depth knowledge of claims payment methodology
• Associate's Degree or equivalent work experience; Bachelor's Degree preferred
• Healthcare or Managed Care experience is preferred
• Minimum typing speed of 45 wpm and working knowledge of PC applications in a Windows-based environment

How to Stand Out (Preferred Qualifications)

• Experience in healthcare or managed care settings
• Familiarity with claims processing and customer service operations

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