<p>Job Description:</p> <p>Responsible for the expeditious and accurate adjudication of insurance claims. Included is the provision of excellent customer service to all members, employer groups, providers, facilities and other departments or teams.</p> <p>Schedule</p> <p>Monday- Friday, 40 hours per week. This is a remote position with the option to also work in the office.</p> <p>Essential Functions</p> <ol> <li> <p>Uses proper plan documentation to determine benefits and correctly adjudicates general and specialty claims.</p> </li><li> <p>Correctly logs, adjudicates and completes paper claim process within required timeframe.</p> </li><li> <p>Identifies and forwards specialty claims to the appropriate queue.</p> </li><li> <p>Provides backup for claims processors and examiners. Supports other departments as needed.</p> </li><li> <p>Effectively participates in meetings, trainings, and committees as designated by the supervisor.</p> </li><li> <p>Provides a level of superior customer service that is consistent with company standards and goals; including outbound calls to members, providers, facilities, and other departments or teams.</p> </li><li> <p>Reviews feedback from supervisors, trainers, auditors, examiners, and trending spreadsheets. Identifies and implements the required steps for improvement.</p> </li><li> <p>Meets and maintains department minimum production and accuracy standards as defined in the department compensation program.</p> </li></ol> <p>Skills</p> <ul> <li>Computer Literacy </li><li>Claims Processing </li><li>Time Management </li><li>Typing </li><li>Detail-Oriented </li><li>Written Communication </li><li>Working Independently </li><li>Customer Service </li><li>Analytical Thinking </li><li>Oral Communication </li></ul> <p>Qualifications</p> <p>Minimum Qualifications</p> <ul> <li>One year of claims processing, claims logging, or customer service experience. </li></ul> <p>Preferred Qualifications</p> <ul> <li>Problem solving ability, analytical skills, self-motivated, and able to work well under pressure. </li><li>Demonstrated excellent verbal and written communication skills. </li><li>Health plan customer service experience or claims processing experience. </li></ul> <p>Physical Requirements:</p> <p>Location:</p> <p>SelectHealth - Murray</p> <p>Work City:</p> <p>Murray</p> <p>Work State:</p> <p>Utah</p> <p>Scheduled Weekly Hours:</p> <p>40</p> <p>The hourly range for this position is listed below. Actual hourly rate dependent upon experience.</p> <p>$16.83 - $21.88</p> <p>We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.</p> <p>Learn more about our comprehensive benefits package here.</p> <p>Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.</p> <p>At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.</p> <p>All positions subject to close without notice.</p>