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Claims Investigator-Examiner
2 months ago
Overview
AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation
Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?
If so, AIDS Healthcare Foundation is the place for you
Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.
AHF’s core values are:
• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What’s Right
STILL INTERESTED? Please continue
Responsibilities
The Claims Department is a dynamic department that provides claims examination and adjudication for the organization’s multiple health plans and AHF grants and contracts. The Claims Investigator-Examiner contributes to AHF's mission by ensuring accurate and timely and payment of claims and providing a positive experience to providers and internal staff.
Reliability in the handling of claims ensures internal/external providers’ satisfaction and high retention rates. The Claims Investigator-Examiner enhance the experience of providers and the organization by being knowledgeable, friendly, and helpful and by offering accurate and thorough responses or instructions to enquiries about claims.
The Claims Investigator-Examiner contributes to the success of the organization by maintaining a thorough understanding of the organization’s health plans eligibility, benefits, and procedures while keeping abreast of various contractual, regulatory, compliance, and quality standards as related to claims review, processing and payment.
The Claims Investigator-Examiner’s attention to detail, analytic capabilities, and excellent customer service play a large role in the Plan’s overall success.
Qualifications
We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.
