Healthcare Claims Advocate

4 weeks ago


Covington, United States HealthComp Full time
Job Overview

HealthComp is seeking a skilled Claims Advocate to review documentation and support members through written and verbal communication to determine benefits due and resolve medical claims.

Key Responsibilities
  • Review and analyze documentation to determine benefit due and complete the denial or payment process to resolve medical claims.
  • Request information required to adjudicate claims/pay vendors through telephone inquiry and written correspondence.
  • Answer incoming phone calls to assist members with claim and benefit inquiries.
  • Respond to all telephone logs and e-mail inquiries in a timely manner.
  • Adhere to all federal and/or state level insurance regulations.
  • Authorize the appropriate plan's liability by following the policy provisions.
Requirements
  • High school diploma or general education degree (GED)
  • Claims Advocate experience and/or training with a minimum of one (1) year related call center customer service experience.
  • Clear written and verbal communication style and strong collaboration skills
  • Must be computer literate and knowledgeable in Windows and Microsoft Office environment, including Word and Outlook. Microsoft Excel and knowledge of insurance database system a plus
  • Strong attention to detail and organizational skills
Benefits
  • Competitive pay with opportunity for career advancement
  • Paid time off policy to support a healthy work-life environment
  • Full offering of health and wellness benefits for you and your family
  • Company paid life insurance and disability plan
  • 401K plan with company matching
  • Employee discounts and wellness program

Job Type: Full-time
Schedule:

  • 8 hour shift
  • Monday to Friday


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