Healthcare Claims Refund Specialist

Claims SpecialistClaims SpecialistFull TimeRemoteJuniorTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

1 day ago

Salary

$21 - $22 / hour

Seniority

Junior

High School0.5 yrs expEnglish

Job Description

Healthcare Claims Refund Specialist

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

• Audit, review, and adjust medical, dental, and flexible spending accounts and Health Reimbursement Account claims. • Review, apply and create refund letters for all lines of business to members and providers. • Reprocess payments when necessary. • Communicate with members, providers, employer group contacts, and other inquirers pertaining to specific refund questions. • Review plan documents for various groups to research and resolve claim processing questions and issues. • Act with urgency to respond to inquiries regarding refund request status-including research and resolution regarding outstanding request. • Perform other related duties, as assigned.

Job Requirements

  • 6 months’ experience in healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support.
  • Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired.
  • Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency.
  • Strong interpersonal skills with excellent verbal and written communication skills.
  • Basic keyboard and Windows based computer skills required.
  • Familiarity with Microsoft Excel.
  • Eager to learn the TPA industry and new concepts and processes.

Benefits

  • Fantastic medical, dental, and vision insurance*
  • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
  • Company provided Basic Life and AD&D
  • Company paid Short-Term and Long-Term Disability**
  • Flexible Spending Accounts*
  • 401(k) Retirement Plan with up to a 6% employer-match**
  • WOW! (100% fully vested after 3 years)
  • 10+ paid holidays
  • Half-day Summer Fridays
  • Generous paid vacation and sick time
  • Annual Volunteer Paid Day
  • Annual Tuition Reimbursement
  • Annual Health and Wellness Reimbursement
  • Lots of fun company events

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