Operations Support Specialist

MultiPlan; McLean (VA); On-site; USD 22,000 - 32,000; Full time

Benefits offered by this job

Health insurance

401k

Bonus opportunity

Job summary

Claritev is seeking an Operations Support Specialist to assist the recovery team on site in De Pere, WI. Responsibilities include data entry, new case creation, claims review, and mail handling with PHI exposure considerations. Collaboration across departments and adherence to HIPAA are essential.

The position requires 1+ years in an office setting, strong typing, and MS Office 365 skills. Onsite work with health insurance and 401k options is offered.

Qualifications

• High School Diploma or GED with 1+ years of office experience.
• Typing at least 45 words per minute.
• Must be able to work on site at De Pere Office.
• Ability to ask questions to uncover needed information.
• Basic computer and scanner knowledge.
• Strong communication and client interfacing skills.
• Familiarity with Microsoft Office 365 tools.
• Licensure or certifications as applicable.
• Extended sitting and viewing of monitors with standard office equipment.

Responsibilities

• Complete data entry and new case creation.
• Review claims.
• Retrieve, image, and prioritize daily mail on site.
• Perform ISO index searches and identify accidents for Subrogation.
• Generate and process IQ batches with guidance.
• Obtain information from client remote systems.
• Process outgoing mail and certified mail.
• Process incoming emails, faxes, and voicemails into the Discovery Case Management system.
• Collaborate across disciplines and departments.
• Ensure HIPAA compliance.
• Demonstrate core competencies and values.
• Note: this role is high risk due to PHI exposure.
• Other duties as assigned.

Skills

Communication skills

Typing 45 wpm

Questioning skills

Computer literacy

Education

High School Diploma or GED

Tools

Microsoft Office 365

Job description

Job Description

Must work onsite in De Pere, WI 54115. This is not a remote opportunity.

JOB REPORTS TO: Support Services Supervisor

JOB SUMMARY:

The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The duties require an intermediate knowledge of the subrogation process. Responsibilities include sorting scanning incoming correspondence, data entry, and creating new Subrogation cases. Work must be performed on site in the De Pere office.

Job Role And Responsibilities

• Completing data entry and new case creation.
• Reviewing claims.
• Retrieving, imaging, and prioritizing the daily incoming mail (must be onsite to complete this work.)
• Performing ISO index searches and identifying accidents to refer to Subrogation Specialists.
• Generating and processing IQ batches with guidance for the Subrogation Business Analyst.
• Obtaining information such as claims and plan documents from client remote systems.
• Processing outgoing mail and certified mail.
• Processing incoming emails, faxes, and voicemails onto the Discovery Case Management system.
• Collaborate, coordinate, and communicate across disciplines and departments.
• Ensure compliance with HIPAA regulations and requirements.
• Demonstrate Company's Core Competencies and values held within.
• Please note due to the exposure of PHI sensitive data - this role is considered to be a High Risk Role.
• The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Job Scope

The incumbent keeps the needs of external and internal customers as a priority when making decisions and taking action. The incumbent relies on established guidelines, policies, and procedures, allowing for little to no exercise of independent judgment. Accurate and timely processing of claim documents and requests directly impacts company revenue and client savings.

JOB REQUIREMENTS (Education, Experience, And Training)

• High School Diploma or GED with 1+ years of experience in an office environment, prefer experience in medical claims industry
• Typing skills of a minimum of 45 wpm
• Must be able to work on site at the De Pere Office
• The ability to ask questions to uncover the information needed
• Basic knowledge of working computers/scanners
• Strong communication and client interfacing skills
• Basic knowledge of the Microsoft Office 365 tools
• Required licensures, professional certifications, and/or Board certifications as applicable
• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

Compensation

The salary range for this position is $19.50/Hour. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

Why Claritev?

Healthcare is complex. We help make it clearer.

At Claritev, you'll do work that matters. Together, we're helping make healthcare more transparent and affordable for all through the power of data, technology, and expertise. We offer meaningful opportunities to grow your career, collaborate with talented colleagues, and make an impact on the clients and communities we serve. If you're looking for purpose, growth, and a team that succeeds together, you'll find it here.

What Guides Us

At Claritev, innovation, agility, and a focus on results drive our success. We embrace bold thinking, work as one team, take ownership, and strive for excellence in everything we do - creating meaningful impact for our clients, communities, and each other.