Claims Recovery Examiner

🔥 1 minute ago

🐻 Alaska, California, +2 more states – Remote

🐻 Alaska – Remote 🏄 California – Remote 🌺 Hawaii – Remote 🗽 New York – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Research refund checks, out of balance entries, and non-negotiated checks • Take action based on research, including offsetting, voiding, or reissuing provider checks • Apply knowledge of complex pricing, contract pricing, and coordination of benefits • Conduct outbound calls to obtain additional information, clarify details, and resolve issues • Maintain positive relationships with customers and business partners

🎯 Requirements

• High school graduate or GED • 1 year experience of coordination of benefits (COB) experience • Ability to determine health care reimbursement methodologies and coordinate benefits • Organizational and time management skills • Flexibility in dealing with changing priorities • Ability to work with others or independently as warranted by the task • Strong mathematical skills • Strong problem solving and analytical skills • Excellent verbal communication skills • Ability to confidently conduct outbound calls to obtain additional information, clarify details, and resolve issues • Qualified applicants must meet applicable employment requirements; employment may be contingent upon successful completion of drug screening • Preferred: 2 years progressive responsibility in IHS Department claims processing or Customer Service areas • Preferred: 2 years of accounting experience or good understanding of accounting practices, or 2 years of progressive responsibility in claims processing to include COB processing

🏖️ Benefits

• Curated development plans and professional development • Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Annual incentive bonus plan • Other incentives