The Claims Specialist will report to the Claims Supervisor in the CDB Operations Department. This role is responsible for driving compassion, confidence and trust while delivering one superior quality experience at a time. This role requires attention to detail to ensure we are processing the claim accurately to ensure a great member experience based on the claim form they’ve submitted for reimbursement.
• Provide excellent customer service to every member.
• Adapt quickly in a fast-paced and time sensitive environment.
• Processes accurate claim data to ensure members receive correct reimbursements.
• Goal orientated, sense of urgency to complete tasks.
• Ability to organize and prioritize work to meet deadlines.
• Utilizes available tools and resources to make informed decisions while processing claims.
• Other duties as assigned.
Qualifications
Years of Experience: • Claims experience preferred
Degree: • High School Diploma, GED or college degree
Certification: N/A
Skills & Abilities:
• Excellent analytical skills with a proactive nature
• Strong organization skills with a drive to meet deadlines
• An affinity for accuracy and efficiency
• Proficiency in Microsoft Excel, Word (including mail merge) and Outlook
• Strong verbal and written communication skills
• An aptitude for prioritization and multi-tasking
• Strong collaboration skills
• A drive to learn and apply new concepts quickly.
Other Requirements:
• Ability to work overtime in peak season
• Prolonged periods of sitting at a desk and working on a computer
HealthPoint is a community-based, community-supported and community-governed network of non-profit health centers dedicated to providing expert, high-quality care to all who need it, regardless of circumstances. Founded in 1971, we believe that the quality of your health care should not depend on how much money you make, what language you speak or what your health is. Because everyone deserves great care.
Today, HealthPoint is the health care home for more than 100,000 people in King County, Washington. High quality health care is essential to living well and thriving. Yet our region has huge disparities in both access to and quality of care. HealthPoint bridges that gap by breaking down barriers and providing care for ALL regardless of income, insurance, immigration status, or any other circumstance.
We offer a broad range of services (from primary medical and dental, to behavioral health, to natural medicine and acupuncture, to nutrition, to case management) and specialize in providing expert, innovative, and compassionate care to all who need it. That care is provided by over 150 doctors, dentists and other providers PLUS over 200 medical students and residents, dental residents and externs and more each year.
We also work beyond our 17 locations to promote healthy communities. Our mission is to strengthen communities and improve people’s health by delivering quality health care services, breaking down barriers, and providing access to all.
Curious what working at HealthPoint is all about? Check out this video: https://www.youtube.com/watch?time_continue=12&v=qDFlE07Zz_s
