Claims Production Professional I Apply
Claims Production Professional
Provide basic data entry, claims processing and coordination of benefits by investigating and applying contract benefits to submitted claims while meeting department standards for quantity, accuracy, timeliness, and dependability. Provides responsive customer service to members, providers and other business partners.
Responsibilities
Claims Production Professional I would have a high school diploma or equivalent and 1 year office experience, preferably in health insurance claims or in a medical office setting, or equivalent combination of education and experience.
Work Environment
The bonus target for this position is 5%.
At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range.
Benefits
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.
- Remote Within WA, OR, ID, UT Candidates outside these states will not be considered.
- Claims Production Professional Starting Pay range is $17.40-19.25, depending on experience and location. Human Resources will reach out and provide specific information.
- Training will last approximately 12 weeks. 100% attendance during training is required.
Provide basic data entry, claims processing and coordination of benefits by investigating and applying contract benefits to submitted claims while meeting department standards for quantity, accuracy, timeliness, and dependability. Provides responsive customer service to members, providers and other business partners.
Responsibilities
- Adapt to daily changes in workload/responsibilities based upon department/division goals and priorities
- Adapt to regular system, procedural and contract changes as they affect your daily processing
- Analyze and investigate claims for processing in a timely and accurate manner
- Apply benefits to claims by following all necessary warning messages and edits to ensure accurate claim completion
- Consistently adhere to all department established performance expectations for quality and production
- Follow all established department rules for behavior, attendance, appearance, and timekeeping
- Identify and report any irregularities or problems in claims processing to the appropriate area
- Maintain access to and utilize all references, documents, policies, and procedures to ensure correct application of contract benefits
- Maintain confidentiality in all aspects of claims processing, including correspondence and contacts
- Provide clear audit trails on claims processed so others can easily complete work in case of absence
- Provide excellent customer service to customers, providers, members, and member representatives
- Review and reprocess previously adjudicated claims
- Successfully complete basic claims training and any departmental audit process
- Other duties as assigned
- Computer experience needed including working knowledge of Microsoft Office software, such as MS Word, Outlook, and Excel, or other comparable programs
- Basic math skills
- Keyboarding skills
- Strong attention to detail
- Excellent interpersonal skills
- Communicate effectively orally and in writing
- Work independently as well as a member of a team
- Ability to work under pressure and meet deadlines
- Meet dependability, timeliness, attendance, quantity, and quality standards as established by department
- Provide excellent customer service when communicating with external and internal customers
Claims Production Professional I would have a high school diploma or equivalent and 1 year office experience, preferably in health insurance claims or in a medical office setting, or equivalent combination of education and experience.
Work Environment
- Duties are performed in a high-volume, fast-paced office environment
- Repetitive keying movements
- Sitting for extended periods of time processing and investigating claims
- Travel to other locations, as job requires
- Work primarily performed in office environment.
- May be required to work overtime.
- May be required to work outside normal hours.
The bonus target for this position is 5%.
At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range.
Benefits
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:
- medical, dental, and vision coverage for employees and their eligible family members
- annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)
- paid time off varying by role and tenure in addition to 10 company holidays
- up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)
- up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)
- one-time furniture and equipment allowance for employees working from home
- up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.
