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Claims Reimbursement Specialist
4 weeks ago
Remodel Health has helped employers to revolutionize the way health benefits are delivered to their employees since 2014. We've made it to the Inc 5000 list 5 years running, but we are most proud of getting people better plans at lower costs. Organizations have saved nearly $100M while actually improving their health coverage for their teams. Our proprietary software combined with our exceptional service helps replace those outdated and overpriced group plans with individualized health insurance for each employee and their family. Are you intrigued?
We are a faith-based organization with a heart to serve all organizations, from small to large to enterprise. Our core customer pipeline consists of churches, K-12 private schools, Christian higher education, and faith-based nonprofits. But with critical mass in the market, we have now seen an incredible increase in demand among the private sector and small businesses.
Remodel Health is looking for a proactive, positive, self-starter and team player with a love for details and efficiencies. The role requires working closely with our Finance, Customer Success, Launch, and Advisement teams as we work toward more automated approaches to our processes. This role requires someone who is extremely organized, hardworking, an excellent communicator, and technically savvy.
Team members who can go with the flow and adjust responsibilities based on the current season is a must. If this sounds like you, explore the job specifics below. You might be exactly who we are looking for, and we would love to get in touch
Primary Duties
- Review reimbursement claim submissions for monthly reports
- Provide support regarding medical reimbursements as well as other programs reimbursable by the client
- Communicate with members and administrators regarding claims and additional documentation and substantiation
- Making payments toward plan premiums on behalf of members typically through online or over-the-phone systems
- Maintain a positive attitude and contribute to a harmonious and cooperative spirit within the organization
- Learn, embrace and utilize technology solutions and provide improvement feedback
- Perform special projects at management's request
- Payroll processing experience with providers like ADP and Paychex
- High level of detail, organization, accuracy, and efficiency
- Accounting skills or understanding of formula-based calculations
- 1-2 years experience with data management or entry
- Tool experience with: Microsoft Office 365 (especially Excel), Google Gsuite products (Sheets, Docs), Quickbooks or similar accounting software, Salesforce or similar CRM
- Helpful if has experience with Christian employers, churches, or nonprofits
- Bachelor's Degree or combined equivalent of education and experience
- Health & Life License preferred
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