Reconciliation Specialist

SCAN Health InsuranceLong Beach, CA
Remote

About The Position

The Reconciliation Specialist reviews claims for irregularities, accuracy and completeness. You Will Requests additional information, when necessary, for completion of claim processing. Reviews claims for eligibility. Maintains updated records and prepares required reports. Assists in claims cost control. Contacts individuals about claims and may provide counsel regarding the amount of benefits. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.

Requirements

  • High School Diploma or equivalent required.
  • 0-3 years of related experience
  • Advanced skills required in MS Office - Word, Excel, Outlook, Teams, PowerPoint, Access
  • Performs work under direct supervision.
  • Handles basic issues and problems, and refers more complex issues to higher-level staff.
  • Possesses beginning to working knowledge of subject matter
  • Communication - Good written and verbal communication and interpersonal skills

Nice To Haves

  • Associate's Degree or equivalent experience or Technical Degree preferred.

Responsibilities

  • Requests additional information, when necessary, for completion of claim processing.
  • Reviews claims for eligibility.
  • Maintains updated records and prepares required reports.
  • Assists in claims cost control.
  • Contacts individuals about claims and may provide counsel regarding the amount of benefits.
  • Actively support the achievement of SCAN’s Vision and Goals.
  • Other duties as assigned.

Benefits

  • Base wage range: $21.78 to $26.00 per hour
  • Internal title: Reconciliation Spec
  • Work Mode: Mostly Remote
  • An annual employee bonus program
  • Robust Wellness Program
  • Generous paid-time-off (PTO)
  • Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
  • Excellent 401(k) Retirement Saving Plan with employer match and contribution
  • Robust employee recognition program
  • Tuition reimbursement
  • An opportunity to become part of a team that makes a difference to our members and our community every day!
  • A competitive compensation and benefits program
  • An annual employee bonus program
  • Generous paid-time-off (PTO)
  • Eleven paid holidays per year
  • Excellent Retirement Savings program
  • A work-life balance
  • An opportunity to become part of a team that makes a difference to our members and our community every day!
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