HBS Claims Trainee

Intermountain Health

1d • $17 - $23

About The Position

Responsible for the expeditious and accurate adjudication of insurance claims. Included is the provision of excellent customer service to all members, employer groups, providers, facilities and other departments or teams. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Pennsylvania, Rhode Island, Vermont, and Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. Essential Functions 1. Uses proper plan documentation to determine benefits and correctly adjudicates general and specialty claims. 2. Correctly logs, adjudicates and completes paper claim process within required timeframe. 3. Identifies and forwards specialty claims to the appropriate queue. 4. Provides backup for claims processors and examiners. Supports other departments as needed. 5. Effectively participates in meetings, trainings, and committees as designated by the supervisor. 6. Provides a level of superior customer service that is consistent with company standards and goals; including outbound calls to members, providers, facilities, and other departments or teams. 7. Reviews feedback from supervisors, trainers, auditors, examiners, and trending spreadsheets. Identifies and implements the required steps for improvement. 8. Meets and maintains department minimum production and accuracy standards as defined in the department compensation program.

Requirements

• Computer Literacy
• Claims Processing
• Time Management
• Typing
• Detail-Oriented
• Written Communication
• Working Independently
• Customer Service
• Analytical Thinking
• Oral Communication
• One year of claims processing, claims logging, or customer service experience.

Nice To Haves

• Problem solving ability, analytical skills, self-motivated, and able to work well under pressure.
• Demonstrated excellent verbal and written communication skills.
• Health plan customer service experience or claims processing experience.

Responsibilities

• Uses proper plan documentation to determine benefits and correctly adjudicates general and specialty claims.
• Correctly logs, adjudicates and completes paper claim process within required timeframe.
• Identifies and forwards specialty claims to the appropriate queue.
• Provides backup for claims processors and examiners. Supports other departments as needed.
• Effectively participates in meetings, trainings, and committees as designated by the supervisor.
• Provides a level of superior customer service that is consistent with company standards and goals; including outbound calls to members, providers, facilities, and other departments or teams.
• Reviews feedback from supervisors, trainers, auditors, examiners, and trending spreadsheets. Identifies and implements the required steps for improvement.
• Meets and maintains department minimum production and accuracy standards as defined in the department compensation program.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed