Love Problem Solving Using Math?
Ready to START YOUR CAREER using your Math or Actuarial Science degree?
100% WORK FROM HOME
Long-Term Care Adjudication Specialist
START DATE: SEPTEMBER 23, 2024
Full-Time (40 Hours per Week)
Pay: $18.75/hour + Benefits - including medical, dental, vision and 401k w/ matching
Hours: 8:00 am - 5:00 pm EST / 7:00 am - 4:00 pm CST*
- After your initial six weeks of paid training, your regular shift hours offer some flexibility regarding when you start your day. However, your eight-hour shift must be completed by 6:00 PM EST.
Location: FULLY REMOTE
Note: This is not a call center or customer service job
At Patriot RN, we pride ourselves on processing long-term care claims accurately and efficiently to provide important financial reimbursement to the people who need it most.
Working behind the scenes in the long-term care industry, our Adjudication Specialistsprovide deserving benefits to the aging and infirmed populations who depend on their claims to be accurately processed and ultimately paid.
The Patriot RN TEAM is unique. Each Adjudication Specialist starts their career the same way - with an opportunity for growth.
Patriot RN's Adjudication Specialists are A-players and represent the top 10% of available talent in the market.
Our ROCKSTAR Adjudication Specialists are smart, detail-oriented, natural problem solvers who want to continuously improve their knowledge.
Ideal Adjudication Specialist Characteristics:
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Recent college graduate with a B.S. or B.A. in Math or Actuarial Sciences
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Detail-oriented and highly organized - a Hermione Granger at heart!
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Eager to take on any challenge in front of you
- Self-driven with the ability to work effectively from a home office
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Quick with math and numbers-oriented
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It bothers you when your friends and family are not honest about even the smallest things
- You wish everyone used common sense... like... all the time
Key Responsibilities and Measures of Success:
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Adjudicate routine home health and facility-based claims for long-term care
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Review and pay claims according to the claimant's policy and prescribed plan of care. Verify the provider of care is appropriate and in accordance with contract language and government regulations regarding healthcare providers and matches the plan of care for the associated dates of service
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Determine benefit eligibility and payable amounts based on policy language and the client's required procedures
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42 Claims Processed per Day
Learn more about working at Patriot RN: https://patriotrn.com
When a Long-Term Care Adjudication Specialist does their job well (with attention to detail and accuracy in determining reimbursement), a long-term care beneficiary has huge financial stress taken off their shoulders.
That is why our Adjudication Specialists share the following Core Values:
LOVE A CHALLENGE
If shows like CSI are one of your favorite shows, and/or you love solving puzzles, then you could be a great fit for our team. Peeling back layers of claims history and really doing a thorough examination of the documentation is the crux of being a Patriot RN Adjudication Specialist.
HIGH ATTENTION TO DETAIL
If you have a gift for organization, enjoy working from lists, prefer to maintain a routine, prioritize quality, and are super focused, then we may have the dream role for you.
CONSISTENT
If you behave the same way, have the same attitudes towards people and things every day, and work diligently to hit the bar day-in and day-out, without drama, then pinch yourself - this role is perfect for your personality!
EAGER TO LEARN & GROW
If you are a bit of a nerd with a passion for lifelong learning and the desire to grow professionally and personally.
HONESTY
Honesty is a virtue and the true foundational value of our team. We expect honesty about situations or events. Additionally, we also expect honest communication between colleagues and managers. Being honest allows us to take responsibility for our work, improve any areas where we may be lacking, and ask for help when necessary.
BONUS TRAIT: If you "geek out" over process improvement, then consider yourself lucky for finding a genuine career field with opportunity for growth and advancement.
Benefits:
Medical, Dental, Vision
401k w/matching
PTO
Paid Holidays
PAY: $18.75/hour
Application Process:
1. Apply online
2. Complete online Assessment within 24 hours of application
Set aside at least 35 minutes to complete the assessment, as it cannot be interrupted once it begins
3. Initial Zoom interview (Approximately 15 minutes)
4. Deep Dive Interview (Approximately one hour)
Learn more about the role - include "a day in the life" @ https://patriotrn.com
