Top 404 Claims Representative Associate Jobs

Associate Insurance Verification Representative
SCA Health —Remote
- $21 - $25 an hour
- Full-time
- Remote
- Customer service
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
1d
Associate Claims Representative (Remote)
MEM —Kansas City, MO
- Full-time
- Remote
- No high school diploma
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid jury duty
Pharmacy Billing Associate
Grane Rx —Pittsburgh, PA
- Weekends as needed
- Mid-level
- High school diploma or GED
- Bachelor's degree
1d
Customer Service & First Report Claims Associate
Plymouth Rock Assurance Corporation —Boston, MA
- $45,000 - $50,500 a year
- Full-time
- In-person
- Associate's degree
- Communication skills
- Paid training
- Wellness program
Quick Apply
Workers' Compensation Associate Claim Representative (Early Talent) - Eastern Alliance
ProAssurance —Carmel, IN
- $19.43 - $32.06 an hour
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
9d
Pharmacy Customer Associate - BioPlus Specialty Pharmacy
Elevance Health —Harvey, LA
- Full-time
- Background check
- Research
- High school diploma or GED
- Employee stock purchase plan
- Paid holidays
Quick Apply
13d
Associate Specialist, Patient Access
Ensemble RCM LLC —Westwood, NJ
- $17.00 - $18.15 an hour
- Full-time
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement
Licensed Insurance Sales Associate
Tim Barron - State Farm Agency —Madison, AL
- $32,000 - $45,000 a year
- Urgently hiring
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Liability Claims Associate | Remote (Central or Eastern Time Zone) | NY or HI Licensing Preferred
Sedgwick —Charlotte, NC
- Remote
- Mid-level
- High school diploma or GED
- 1 year
- Health savings account
- Disability insurance
14d
Claims Associate - Workers Compensation
Sedgwick —Pascagoula, MS
- Full-time
- Computer literacy
- Writing skills
- High school diploma or GED
TPL Claims Associate
SYNTRIQ HEALTH SOLUTIONS LLC —Corinth, MS
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Quick Apply
Associate Representative, Health Plan Provider Relations - Remote must reside in UT
Molina Healthcare —Utah
- $18.04 - $35.17 an hour
- Full-time
- Remote
- Medical office experience
- Research
- Communication skills
- Health insurance
14d
Workers’ Compensation Claims Careers – Assistant, Associate, Representative, Examiner & Team Leads
Sedgwick —Georgia
- Full-time
- Customer service
- Mid-level
- Office
- Health insurance
- Dental insurance
General Claims Associate, Part-Time Student Worker
NJM Insurance Group —Trenton, NJ
- $21 - $22 an hour
- Part-time
- Office
- High school diploma or GED
- Typing
Claims Associate - Individual Life
OneAmerica Financial Partners, Inc —Indianapolis, IN
- $21.63 - $36.06 an hour
- Hybrid work
- Mid-level
- Office
- Microsoft Office
- Wellness program
- Paid parental leave
Quick Apply
First Party Claims Associate
SYNTRIQ HEALTH SOLUTIONS LLC —Corinth, MS
- Full-time
- Microsoft Outlook
- Computer literacy
- HIPAA
Quick Apply
First Party Claims Associate
Syntriq Health Solutions —Oxford, MS
- Full-time
- Microsoft Outlook
- Computer literacy
- HIPAA
Quick Apply
Workers Compensation Claims Associate | Medical Only Experience Required | Marlton, NJ - Hybrid Schedule
Sedgwick —Marlton, NJ
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Workers Compensation Claim Representative Associate
The Travelers Companies, Inc. —Rancho Cordova, CA
- $52,600 - $86,800 a year
- Hybrid work
- High school diploma or GED
- Bachelor's degree
- Organizational skills
- Wellness program
- Paid holidays
Associate Call Representative (Unemployment Ins Associate I (Contractual))
State of Maryland - LABOR - Unemployment Insurance —Baltimore, MD
- $20.53 an hour
- Online Application
- Background check
- Spanish
- High school diploma or GED
- AD&D insurance
- Dental insurance

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Associate Insurance Verification Representative

SCA Health -
Remote

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Job Details

Full-time
$21 - $25 an hour
1 day ago

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Customer service
High school diploma or GED

Full Job Description

Overview:

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:

Clinical quality
Integrity
Service excellence
Teamwork
Accountability
Continuous improvement
Inclusion

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will.

Accountabilities / Responsibilities:

The Associate Insurance Verification Representative will:

Verify that sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician office and/or the patient.
Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information.
Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class.
When the patient’s insurance is Out of Network notify the manager immediately. Follow the Policies and Procedures when accepting Out of Network payers.
SCA’s goal for each patient’s insurance verification is complete and accurate. The insurance verifier will document the findings in the patient account and will contact the patient with either estimated co-insurance, co-pay and or deductible amounts due on or before the date of service as applicable
The Insurance Verifier will call each patient as part of center compliance with CMS Conditions for Coverage guidelines in contacting patient’s prior to the date of service to review, Physician Ownership, Advance Directives and Patient Rights.

Authorization:

Obtain authorizations from insurance companies/physician offices. Ensure complete and accurate information is entered into the patient accounting system and the procedure scheduled, date of service and facility name are on the authorization. Ensure the authorization has not expired.
Enter authorization into patient accounting system. Include the name/CPT codes effective date of the authorized procedures.
Ensure high cost implant/supply or equipment rental is included on authorization.
Check insurance company approved procedure lists/medical policies. If procedure is not payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form.

Financial Orientation:

Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable.
Acceptance of in-network benefits for out-of-network payers must be pre-approved by SCA Compliance Dept.
Be familiar with individual payer guidelines and the process of collecting over the counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare, Medicaid and other government contracts and guidelines and workmen’s compensation fee schedule.
Contact the patient and communicate the center financial policy

Qualifications:

High School Diploma or GED required
Strong customer service experience required
A/R, billing, or insurance verification experience preferred
Healthcare experience a must

Min: USD $21.00/Hr. Max: USD $25.00/Hr.

Apply Now

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