Healthcare Claims Specialist
Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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Salary
💰 $21 - $22 per hour
Job Level
About the role
- Audit, review, and adjust medical, dental, and flexible spending accounts and Health Reimbursement Account claims.
- Review, apply and create refund letters for all lines of business to members and providers.
- Reprocess payments when necessary.
- Communicate with members, providers, employer group contacts, and other inquirers pertaining to specific refund questions.
- Review plan documents for various groups to research and resolve claim processing questions and issues.
- Act with urgency to respond to inquiries regarding refund request status-including research and resolution regarding outstanding request.
- Perform other related duties, as assigned.
Requirements
- 6 months’ experience in healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support.
- Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired.
- Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency.
- Strong interpersonal skills with excellent verbal and written communication skills.
- Basic keyboard and Windows based computer skills required.
- Familiarity with Microsoft Excel.
- Eager to learn the TPA industry and new concepts and processes.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
healthcare billingprovider maintenancecodingcustomer support
Soft Skills
time-managementprioritizationurgencyinterpersonal skillsverbal communicationwritten communication