Claims Payables Specialist

This is a fully remote position, open to applicants in Alabama, +2 more states.

📋 Description

• Process and adjudicate value-based care claims following established policies, procedures, and regulatory guidelines.

• Review processed claims to ensure accuracy, completeness, and compliance with contractual agreements and reimbursement standards.

• Investigate and resolve any discrepancies found in claim information.

• Guarantee timely and precise payment of value-based care claims.

• Maintain comprehensive documentation of all claims processing activities.

• Collaborate with various departments to address inquiries related to claims.

• Assist in the creation and implementation of process enhancements.

⛳️ Requirements

• Bachelor's degree in Finance, Accounting, Healthcare Administration, or a related discipline.

• At least 2 years of experience in claims processing, ideally in value-based care or healthcare reimbursement.

• Proficient in claims processing systems and EDI technology.

• Available for full-time work with occasional travel for training and provider engagement activities.

• Certification in healthcare billing or claims management (CPC, CPPS, or similar) is preferred.

• Must independently complete interviews and assessments without external assistance.

🏝️ Benefits

• Offers Bonus