Claims & Billing Specialist

This role is located in our Denver Tech Center Office. This is not a remote position.

 

WHAT YOU’LL DO:

• Determines coverage for medical, dental, and vision procedures by studying provisions of the member’s health policy
• Extracts additional information as required from outside sources, including claimant, physician, employer, hospital, insurance carriers, and other third partners
• Initiates investigation of questionable claims
• Resolves medical, dental, and vision claims and billing questions and issues by
• Provides information on year-to-date deductible, copay, and coinsurance activity to team members
• Maintains quality customer service by following customer service practices and responding to customer inquiries in a timely manner
• Protects claimant information by following HIPAA guidelines
• Reports claim status updates in proprietary CRM and provides detailed information on each claim

 

WHO YOU ARE:

Our Navigation Operations is a fast-paced, dynamic, and growing environment.  We are looking for individuals who are passionate about concierge service delivery and changing the healt