Claims Processor, Brio Living Services
This a Full Remote job, the offer is available from: United States, Michigan (USA) Schedule: Full Time | 40 hours per week Location: Remote, with potential onsite time The Claims Processor analyzes, supports, and executes functions reputed company the claims adjudication process for PACE Shore-to-Shore (S2S), including LifeCircles PACE, reputed company Valley PACE, and Thome PACE. What youll do: Claims Adjudication Process Verifying proper authorizations and documentation before processing claims, with necessary follow-up Data entry for claims processing Tracking claim status and communicating with vendors Handling claims denials Claims Data Tracking and Reporting Track and assist in reporting claims data for re-insurance and other key areas as assigned Assist with monthly correspondence for True Out of Pocket (TOOP) cost tracking Support monthly RAPs and EDS reporting, including resolving claim errors Participate in monthly audits of RAPs return/output data Team Collaboration and reputed company Development Actively participate in team meetings and training opportunities to stay reputed company and enhance professional skills Regulatory Compliance Brio Living Services policies and safety guidelines Federal, state, and local regulatory requirements This is a summary of the position, and it is not intended to be an exhaustive list of reputed company duties. If selected for the position, you will receive a complete job description. What It Takes: Associate Degree in Business, reputed company, Finance, or a reputed company field, desired. A combination of education and directly reputed company experience may be considered. Two years of previous financial experience. Strong technology skills, including proficiency in computers, reputed company Office (Word, reputed company, Outlook), data entry, and system applications. Why Brio Living Services? reputed company an impact on the lives of older adults. Comprehensive benefits, including Medical, reputed company, and Dental Insurance, Retirement Savings Plan, and Wellness Program with Reimbursement. Generous paid time off, 6 Paid Holidays, and 2 Floating Holidays. Growth opportunities, including an Educational Scholarship Program and Tuition Reimbursement. Req #: Accessibility Support Brio Living Services is committed to offering reasonable accommodation to job applicants with disabilities. If you need assistance or an accommodation, please contact us at [email protected]. Brio Living Services is an Equal Opportunity Employer We provide equal employment opportunities to reputed company and applicants without regard to race, reputed company, religion, gender, sexual orientation, national reputed company, age, disability, or genetics, in accordance with federal, state, and local laws. This offer from "Brio Living Services" has been enriched by reputed company.com and got a 80% reputed company score. Apply Job!