Associate Claims Specialist, Medicaid *Remote* @ Providence Health Plan | Jobright.ai
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Associate Claims Specialist, Medicaid *Remote* jobs in Salem, OR
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Providence Health Plan ยท 1 day ago

Associate Claims Specialist, Medicaid *Remote*

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Responsibilities

Process claims for members, providers, and employers
Provide and interpret detailed benefit, eligibility, and premium information on a broad portfolio of products
Respond to claim inquires
Resolve member issues or concerns
Correctly analyze and adjudicate claims to reflect financial, check, and processing accuracy

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Claims ProcessingAccountingHealthcare ExperienceInsurance ClaimsMembership Accounting

Required

2+ years of experience with claims or customer service or accounting

Preferred

Bachelor's Degree
2+ years' customer service experience working in a healthcare or insurance environment (Examples: Clinical, Back office, Insurance Support, Etc.)
2+ years' experience processing insurance claims
2+ years' experience in membership accounting

Benefits

401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources

Company

Providence Health Plan

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Providence Health Plan is a nonprofit organization that offers commercial and individual health insurance coverage.

Funding

Current Stage
Late Stage

Leadership Team

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Cheryl Morrison Bornstein
Chief Operating Officer
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Laurel C. Soot
Chief Medical Officer
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Company data provided by crunchbase
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