- Salary: Min $16.35/Hr USD. Max $20.00/Hr USD.
- Job Locations: Remote
- Job ID: 2025-16371
- Category: Revenue Cycle Management
Overview
This position receives/responds to provider inquiries on claim issues. Researches information by reviewing plan, eligibility, and authorizations to determine appropriate resolution. Works with CSC or RCM to identify areas of opportunity and recommend solutions. Completes special assignments and analyzes provider requests. Assists other departments and interacts directly with providers.
Responsibilities
In this role, you will:
- Handles various inbound or outbound provider calls which include researching, resolving, and documenting issues.
- Handles RCM authorization and intake changes required for claims and billing processing within a 48 hour turn-around time frame.
- Analyzes data and determines if CareCentrix claims processing guidelines have been followed correctly by researching plan, eligibility, and patient authorization information.
- Tracks claim detail errors and communicates to up-line management for coaching and training purposes.
- Participates in and contributes to performance improvement activities.
- Participates in special projects and performances other duties as assigned.
Requirements
You should reach out if you have:
- High School Diploma or the equivalent required
- Must have minimum 1 year work experience.
- Two years of customer service, claims processing, medical terminology, medical services or equivalent experience required.
- Knowledge of basic spreadsheet / word processing / data entry and basic math skills required.
- Knowledge of Claims Management and URAC standards preferred.
What we offer:
- Competitive compensation: $16.35 – $20.00/hour plus corporate bonus incentive
- Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match
- Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more
- Advancement Opportunities, professional skills training, and tuition /exam reimbursement
- PayActiv – access earned income in between pay checks
- Walgreens Discount – receive up to 25% off eligible items
- Great culture with a sense of community
CareCentrix maintains a drug-free workplace
FAQs about Claims Support Associate role:
1. What does a Claims Support Associate do?
This role primarily involves responding to provider inquiries about claim issues, researching plans and eligibility, and working with different departments to resolve concerns.
2. Is this a remote position?
Yes, this role is fully remote.
3. What is the salary range for this position?
The hourly rate ranges from $16.35 to $20.00, plus corporate bonus incentives.
4. What kind of calls will I handle in this role?
You’ll handle both inbound and outbound provider calls, researching, resolving, and documenting claim-related issues.
5. What is the expected turnaround time for claim and billing processing tasks?
You are expected to process RCM authorization and intake changes within 48 hours.
6. Will I be required to participate in special projects?
Yes, special projects and additional duties are part of the role.
7. What are the minimum qualifications for this job?
- High school diploma or equivalent
- At least 1 year of work experience
- 2 years of experience in customer service, claims processing, medical terminology, or related areas
8. Do I need specific technical skills?
Basic spreadsheet, word processing, data entry, and math skills are required.
9. What benefits are offered for this position?
- Health, Dental, and Vision benefits
- HSA Employer Contributions & Dependent Care FSA Employer Match
- Generous PTO and 401K Savings Plan
- Paid Parental Leave
- Free on-demand Virtual Fitness Training
10. Are there advancement opportunities?
Yes, professional skills training and tuition/exam reimbursement are offered.
11. What discounts are available to employees?
Employees can receive up to 25% off eligible items at Walgreens.
Method Of Application
Qualified and interested applicant should click the APPLY HERE LINK below to start filling out the application form and submit it before the deadline.
APPLY HERE
Deadline: CareCentrix accepts applications on an ongoing basis until a candidate is identified.
Stay updated on job opportunities! Join our WhatsApp and Telegram Job Alert Groups:
JobHorizon Whatsapp
JobHorizon Telegram
