Claims Support Associate

Job Summary

A company is looking for a Claims Support Associate who will manage provider inquiries related to claims issues.

Key Responsibilities

• Handles inbound and outbound provider calls, researching and documenting issues
• Processes RCM authorization and intake changes for claims within a 48-hour timeframe
• Analyzes data to ensure compliance with claims processing guidelines and communicates errors for improvement

Required Qualifications

• High School Diploma or equivalent required
• Minimum of 1 year of work experience
• Two years of experience in customer service, claims processing, or medical terminology preferred
• Basic knowledge of spreadsheet, word processing, data entry, and math skills required
• Familiarity with Claims Management and URAC standards preferred