Health Claims Specialist

🔥 5 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

💵 $13 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Sutherland

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1986

🏥 Healthcare

🛡️ Insurance

✈️ Travel

💰 $300M Secondary Market on 2014-10

Healthcare • Insurance • Travel

Sutherland is a global company specializing in digital transformation and business process outsourcing services. They leverage advanced technologies such as Artificial Intelligence, automation, and cloud engineering to drive digital performance and optimize critical business operations. Sutherland offers a variety of services including digital CX, enterprise technology solutions, and intelligent automation across multiple industries such as banking, healthcare, and telecommunications. Their focus is on delivering measurable outcomes, enhancing customer experiences, and enabling business agility through innovative digital solutions.

📋 Description

• Process medical claims via data entry for 90% of the day • Adjudicate claims according to client requirements, policies, procedures, and regulatory guidelines • Meet production, quality, and other Key Performance Indicators • Follow up on claims requiring additional information • Refer problem claims to a Lead and/or auditor for additional review • Maintain accurate and private information according to HIPPA guidelines • Work with specific software • Complete assigned special projects • Work independently with knowledge base and support personnel

🎯 Requirements

• High School Diploma or equivalent • Excellent Internet Connectivity: Internet access speed of 2 Mbps upload and 10 Mbps download • Hard-wired internet connection; wireless and/or satellite Internet Service Providers are not compatible • A quiet and distraction-free, secure place to work • Effective verbal and written communication skills • Strong typing and analytical abilities • Multi-tasking skills with a strong attention to detail • Computer knowledge • Minimum 40 words per minute on typing test • Must maintain a clean and paper free work environment • Medical Billing and Coding degree/certification • Previous experience in a medical office type setting, including knowledge of insurance, claims, billing or coding • Understanding of Medicare/Medicaid and/or Child Plus • Knowledge of Medical terminology • Data entry • Time management • Attention to detail • Analytical skills

🏖️ Benefits

• Opportunity to bonus an additional $1500 a month • Medical, dental, and vision plans • Paid training • PTO • Global Flexible Vacation Policy • Company-provided equipment • Advancement opportunities • Monthly rewards & recognition programs • Employee Discounts • EAP and Health and Wellness programs • Personal trainer dedicated to Sutherland

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