Specialist, Contingncy Supp

Claritev•New York, NY

4d•Remote

About The Position

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

Requirements

High School diploma or equivalent.
Ability to efficiently use a keyboard and quickly navigate software applications.
High speed internet access.
Quiet work area without distractions.
Regular and consistent attendance and adherence to work schedule.
Knowledge of medical insurance terminology required.
Communication skills (verbal, written, and listening).
Ability to work without frequent supervision.
Ability to maintain confidentiality in all required situations.
Ability to use software, hardware, and peripherals related to job responsibilities.

Nice To Haves

Excel experience preferred.

Responsibilities

Intake and create cases in all applicable systems.
Perform timely data entry of necessary information
Perform adjustments on medical claims
Perform outreach to customers to obtain necessary details on medical claims
Research appropriate systems to identify data needed to complete cases.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate Company’s Core Competencies and values held within
This role is considered to be a High-Risk Role due to the exposure of PHI sensitive data.
Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.