Healthcare Claims Refund Specialist

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🐊 Florida – Remote

🐊 Florida – Remote

💵 $21 - $22 / hour

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

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Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

WebsiteLinkedInAll Job Openings

51 - 200 employees

Who We Are:

📋 Description

• Audit, review, and adjust medical, dental, and flexible spending accounts and Health Reimbursement Account claims. • Review, apply and create refund letters for all lines of business to members and providers. • Reprocess payments when necessary. • Communicate with members, providers, employer group contacts, and other inquirers pertaining to specific refund questions. • Review plan documents for various groups to research and resolve claim processing questions and issues. • Act with urgency to respond to inquiries regarding refund request status-including research and resolution regarding outstanding request. • Perform other related duties, as assigned.

🎯 Requirements

• 6 months’ experience in healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support. • Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired. • Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency. • Strong interpersonal skills with excellent verbal and written communication skills. • Basic keyboard and Windows based computer skills required. • Familiarity with Microsoft Excel. • Eager to learn the TPA industry and new concepts and processes.

🏖️ Benefits

• Fantastic medical, dental, and vision insurance* • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible! • Company provided Basic Life and AD&D • Company paid Short-Term and Long-Term Disability** • Flexible Spending Accounts* • 401(k) Retirement Plan with up to a 6% employer-match** • WOW! (100% fully vested after 3 years) • 10+ paid holidays • Half-day Summer Fridays • Generous paid vacation and sick time • Annual Volunteer Paid Day • Annual Tuition Reimbursement • Annual Health and Wellness Reimbursement • Lots of fun company events