Job description
Join Our Team: Do Meaningful Work and Improve People’s Lives
Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.
To better serve our customers, we’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership.
Forbes ranked Premera among America’s 2022 Best Midsize Employers
because we are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives!
COVID-19 Vaccination Policy:
To learn more about our COVID-19 vaccination and accommodation requirements, please visit our Careers landing page.
The Claims Processor I is responsible for the accurate and timely review, entry, and resolution of simple to moderate complexity claims. Incumbent is responsible for interpreting procedures and policies to ensure accurate claims resolution.
What you will do:
- Review, analyze, and resolve claims through the utilization of procedures, reference materials and on-line tools for moderately complex claims.
- Responsible for accurately coding claims through the system.
- Translate data into information acceptable to the claims processing system including follow up on pended claims.
- Prepare claims for return to Provider or Subscriber when additional information is needed.
- Consistently meet cycle time/productivity goals that are aligned with corporate objectives.
- Maintain confidentiality of all documents/files.
- May provide `buddy training' and feedback to new associates.
- Apply commitment to quality by doing things right the first time in order to avoid defects from reaching customers or requiring internal re-work.
What you will bring:
- High School diploma or GED (Required).
- Six (6) months claims processing/medical and/or dental office billing experience.
- Familiarity with medical and/or dental coding, coding schemes and equivalent English nomenclature.
- Six (6) months in-team work experience to support claims entry positions.
- Experience working for MedaSource.
What we offer
- Medical, vision and dental coverage
- Life and disability insurance
- Retirement programs (401K employer match and pension plan)
- Wellness incentives, onsite services, a discount program and more
- Tuition assistance for undergraduate and graduate degrees
- Generous Paid Time Off to reenergize
- Free parking
Equal employment opportunity/affirmative action:
Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.
If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.
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