Associate, Claims Support Services
2 weeks ago
Headquarters Office, 625 State Street, Schenectady, New York, United States of America • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America • Virtual Req #2177
Wednesday, August 28, 2024
At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for an Associate, Claims Support Services to join #TeamMVP. This is the opportunity for you if you have a passion for d ata- driven decision making, being Curious, and Research and problem solving.
What's in it for you:
- Growth opportunities to uplevel your career
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
- Competitive compensation and comprehensive benefits focused on well-being
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York
Qualifications you'll bring:
- A High School Diploma required. Relevant work experience may be substituted for degree or equivalent combination of education and related experience
- Previous medical claims processing experience, CPT, HCPCS, ICD-9-CM coding systems and medical terminology required.
- Strong verbal and written communication skills, critical thinking and problem-solving skills required.
- Curiosity to foster innovation and pave the way for growth
- Humility to play as a team
- Commitment to being the difference for our customers in every interaction
- Ensuring great member and provider experience by accurately and efficiently processing claims adjustments, while concentrating on putting our customers at the center of how Operations operates.
- Ensures accurate and timely processing of claim adjustments/service forms and ad-hoc projects/retro database items in accordance with medical and ancillary guidelines and benefits.
- Acts as a liaison with other department and outside vendors to resolve claim issues as they arise while also conducting root cause analysis on those issues with a focus on improving the member and provider experience.
- Completes daily reports as needed with flexibility to move from one project to another on a daily/weekly basis.
- Evaluates all business processes to proactively identify efficiency opportunities and partners with team leads to implement production and quality standards, identify trends and recognize process improvements with a focus on continuous improvement.
- Will work to reduce the number of complaints, appeals and DFS issues along with improvement in the average turnaround time and reduction in the number of hand-offs within the organization.
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Location: Remote. All applicants must be located within New York State
Pay Transparency
At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
Affirmative Action
MVP is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com .
Other details
- Job Family Claims/Operations
- Pay Type Hourly
- Min Hiring Rate $20.00
- Max Hiring Rate $28.00
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