Claims Analyst @ Luminare Health
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Job Details
About the Role
The Claims Analyst at Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims. This includes handling related correspondence and electronic inquiries for assigned groups while adhering to plan documents, claim processing guidelines, and turnaround times.
Job Responsibilities
- Process and adjudicate various types of claims accurately.
- Handle inquiries via correspondence and electronic means.
- Follow established guidelines and turnaround times.
- Continuously improve processes and adapt to new systems.
Qualifications
Required: High School Diploma or GED, effective communication skills, ability to work in a fast-paced and customer-centric environment, teamwork, common sense, and proficiency in MS Excel/Word.
Preferred: 1 year of health insurance experience, experience with self-funded insurance or TPA, understanding of medical coding, terminology, and benefit descriptive tools.
Work Arrangement & Location
This is a telecommute (remote) role. Candidates must reside in one of the specified states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX, or WI.
Additional Information
Join HCSC, a purpose-driven organization that invests in professional development and offers a robust total rewards package. Employee referral processes apply for referred candidates. This role offers hourly compensation based on experience and skills.
Key skills/competency
- Claims Processing
- Adjudication
- Medical Coding
- Customer Service
- Teamwork
- Communication
- Process Improvement
- Healthcare
- MS Excel
- Telecommute
How to Get Hired at Luminare Health
🎯 Tips for Getting Hired
- Customize your resume: Highlight health insurance experience and skills.
- Research Luminare Health: Understand their mission and employee benefits.
- Showcase adaptability: Emphasize remote work capability.
- Prepare examples: Demonstrate claims processing and teamwork success.