Claims Technician II - Remote

Overview

The Claims Technician II is responsible for verifying, processing, and adjudicating claims, and assists with training new hires. This role is essential in ensuring accurate and timely payment for medical services.

In Short

• Verify and process claims for medical services.
• Adjudicate claims with attention to detail.
• Assist in training new Claims Technicians.
• Perform data entry and ensure accuracy of claims.
• Support access to care for Alliance members.
• Work in a hybrid environment with remote interview processes.
• Attend quarterly company events or department meetings.
• Knowledge of medical coding and insurance practices required.
• High school diploma and relevant experience needed.
• Benefits include medical, dental, and vision plans.

Requirements

• Knowledge of medical terminology and coding (CPT, ICD, HCPCS).
• Experience in medical claims processing or billing.
• Proficiency in Microsoft Office Suite.
• Ability to utilize various computer systems.
• Strong attention to detail and accuracy.
• Excellent communication skills.
• High school diploma or equivalent required.
• Minimum of two years of administrative experience.
• Ability to read and understand Explanation of Benefits.
• Experience in a customer service role is a plus.

Benefits

• Medical, Dental, and Vision Plans.
• Ample Paid Time Off.
• 12 Paid Holidays per year.
• 401(a) Retirement Plan.
• 457 Deferred Compensation Plan.
• Robust Health and Wellness Program.
• Onsite EV Charging Stations.