Claims Management Specialist - Full Time - Remote/Hybrid

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following:

• Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
• Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
• Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
• Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
• Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
• Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
• Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Job Type: Full time

Compensation: Starting at $17 hourly!

Responsibilities: 

• Manages electronic clearinghouse to ensure claims are corrected and submitted daily and enrollments are in place for assigned clinics
• Supervises the efficiency of the electronic data exchange to ensure claims are corrected and submitted daily and required enrollments are in place
• Ability to work rejected unresolved claim issues and report trends to supervisor and client success manager
• Communicates with internal and external customers via phone calls and written communications as needed
• Expert in recognizing problems effectively and researching the resolution
• Ability to solve the detected issues within the given time requirements
• Flexible with learning new tools and processes whenever required
• Set up insurance website access for Experity users and clients and maintain updated login information
• Manages a shared email box for all of RCM client requests from internal and external stakeholders
• Set up electronic funds transfer, update bank information and send out payer notifications to optimize cash flow for all clients
• Provides support for Claims Management Supervisor
• Researches, records findings, and communicates effectively with Supervisor to achieve optimum performance.
• Maintains patient confidence and protects medical office operations by keeping patient information confidential
• Contributes to team effort by accomplishing related results as needed
• Other duties as assigned

Education and Experience: 

• High school diploma or equivalent
• Minimum of two years of related experience in a business, medical or technical environment
• Previous experience in a medical office setting and/or experience with an Electronic Medical Record software

Every team member exhibits our core values:

• Team First
• Lift Others Up
• Share Openly
• Set and Crush Goals
• Delight the Client

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