- Remote, United States
- Remote
- Full-time · Senior
- $19–$35 per hour
- 2+ years
The Senior Claim Benefit Specialist (Encounter Corrections Analyst) researches, reviews, and adjudicates complex, sensitive, and specialized encounters in accordance with state-specific processing guidelines.
Compensation
The typical pay range for this role is: $18.50 - $35.29. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
Responsibilities
- Drive timely resolution of encounter errors using available resources, tools, and research.
- Adjudicate complex, sensitive, and specialized claims with accuracy in the claims processing system.
- Consistently meet quality and production expectations.
- Identify and escalate issues that impact claim payment accuracy or create rework.
- Partner cross-functionally to resolve barriers to encounter acceptance.
Requirements
- High School Diploma
- Nice to have: QNXT
- Nice to have: Facets
- Nice to have: Medicaid claims
- Nice to have: Medicare claims