Remote Otter LogoRemoteOtter

Health Claims Examiner Coach - Remote

Posted Yesterday
Customer Service
Full Time
USA

Overview

The Health Claims Examiner Coach will support and develop Claims Examiners through coaching and process improvement, ensuring accurate claims processing.

In Short

  • Provide real-time support to Claims Examiners.
  • Monitor and coach on quality and productivity metrics.
  • Teach best practices for claims processing.
  • Review claims for accuracy trends.
  • Support process improvement initiatives.
  • Encourage effective use of tools and resources.
  • Assist with performance reviews and reporting.
  • Help new Claims Examiners transition from training to production.
  • Communicate effectively with team members.
  • Work in a fast-paced environment.

Requirements

  • High School Diploma or GED.
  • Minimum 1 year of experience with Allegiance processes.
  • Strong computer skills, especially in Microsoft applications.
  • 1+ year of coaching or mentoring experience preferred.
  • Working knowledge of medical terminology.
  • Ability to read and interpret insurance documents.
  • Strong communication skills.
  • Customer-focused mindset with attention to detail.
  • Ability to motivate and support others.
  • Proven problem-solving skills.

Benefits

  • Opportunity to empower and develop others.
  • Work in a supportive team environment.
  • Flexible work from home options.
  • Access to resources for professional growth.
  • Contribute to improving health outcomes.
  • Engage in meaningful work that impacts lives.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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