Customer Service Rep - Claims Examiner II/I jobs in United States
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NEOGOV · 4 months ago

Customer Service Rep - Claims Examiner II/I

NEOGOV is seeking a Medicaid Claims Examiner II for the Utah Department of Health and Human Services. This role primarily involves providing customer service and processing medical claims according to Medicaid guidelines, requiring handling a high volume of calls and inquiries regarding claims and benefits.

GovTechHuman ResourcesInformation TechnologySoftware
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H1B Sponsor Likelynote

Responsibilities

Answer calls about Medicaid benefits, claims, billing practices, and other related information from the medical community and public
Adjudicate claims
Respond to phone, electronic, fax and mail inquiries regarding the status and correction of claims
Explain and interpret Medicaid billing policies, guidelines, benefits and procedures
May spend time in the document control area

Qualification

Medical billingClaims processingCustomer serviceElectronic claimsPaper claims

Required

Experience processing and adjusting electronic and paper claims
Experience with medical billing or collections
Excellent customer service skills
You must successfully pass a criminal history check
Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to within 30 days of their start date

Benefits

On-site fitness center, for a minimal membership fee
UTA Eco Pass, at a discounted monthly rate
Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 385-382-4012 or firststepschildcareslc@gmail.com
The State of Utah offers eligible employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program.

Company

NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.

H1B Sponsorship

NEOGOV has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)

Funding

Current Stage
Late Stage
Total Funding
$700M
Key Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity

Leadership Team

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Shane Evangelist
CEO
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Brandon McDonald
Head Of Marketing
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Company data provided by crunchbase