Operations Support Specialist

MultiPlan; McLean (VA); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

Health insurance

401k

Bonus opportunity

Job summary

Claritev, located in De Pere, WI, seeks an Operations Support Specialist to assist the recovery team with subrogation processes. Responsibilities include data entry, new case creation, and mail handling on-site, with HIPAA compliance as a priority.

The role requires ability to review claims, perform index searches, and coordinate with Subrogation Specialists. A High School Diploma or GED and 1+ year office experience are expected.

Qualifications

• High School Diploma or GED required, 1+ year office experience preferred.
• Typing speed of at least 45 wpm.
• Must be able to work on-site at De Pere office.
• Ability to ask questions to gather information.
• Basic knowledge of computers/scanners.

Responsibilities

• Perform data entry and new case creation.
• Review claims.
• Retrieve, image, and process daily incoming mail on-site.
• Conduct index searches and refer accidents to Subrogation Specialists.
• Batch processing with guidance for Subrogation Analyst.
• Obtain information from client remote systems as needed.
• Process outgoing and incoming mail and email.
• Collaborate across departments and maintain HIPAA compliance.

Skills

Typing 45 wpm

Strong communication

Client interfacing

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.

• health insurance
• 401k
• 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.