AMVETS Jobs

Claims Production Professional * Remote Within WA, OR, ID, UT Candidates outside these states will not be considered. * Claims Production Professional Starting Pay range is $17.40-19.25, depending on experience and location. Human Resources will reach out and provide specific information. * Training will last approximately 12 weeks. 100% attendance during training is required. Primary Job Purpose: Provide basic data entry, claims processing and coordination of benefits by investigating and applying contract benefits to submitted claims while meeting department standards for quantity, accuracy, timeliness, and dependability. Provides responsive customer service to members, providers and other business partners. Responsibilities: * Adapt to daily changes in workload/responsibilities based upon department/division goals and priorities * Adapt to regular system, procedural and contract changes as they affect your daily processing * Analyze and investigate claims for processing in a timely and accurate manner * Apply benefits to claims by following all necessary warning messages and edits to ensure accurate claim completion * Consistently adhere to all department established performance expectations for quality and production * Follow all established department rules for behavior, attendance, appearance, and timekeeping * Identify and report any irregularities or problems in claims processing to the appropriate area * Maintain access to and utilize all references, documents, policies, and procedures to ensure correct application of contract benefits * Maintain confidentiality in all aspects of claims processing, including correspondence and contacts * Provide clear audit trails on claims processed so others can easily complete work in case of absence * Provide excellent customer service to customers, providers, members, and member representatives * Review and reprocess previously adjudicated claims * Successfully complete basic claims training and any departmental audit process * Other duties as assigned Minimum Requirements: * Computer experience needed including working knowledge of Microsoft Office software, such as MS Word, Outlook, and Excel, or other comparable programs * Basic math skills * Keyboarding skills * Strong attention to detail * Excellent interpersonal skills * Communicate effectively orally and in writing * Work independently as well as a member of a team * Ability to work under pressure and meet deadlines * Meet dependability, timeliness, attendance, quantity, and quality standards as established by department * Provide excellent customer service when communicating with external and internal customers Normally to be proficient in the competencies listed above: Claims Production Professional I would have a high school diploma or equivalent and 1 year office experience, preferably in health insurance claims or in a medical office setting, or equivalent combination of education and experience. #LI-remote Work Environment: * Duties are performed in a high-volume, fast-paced office environment * Repetitive keying movements * Sitting for extended periods of time processing and investigating claims * Travel to other locations, as job requires * Work primarily performed in office environment. * May be required to work overtime. * May be required to work outside normal hours. The base hourly range for Claims Production Professional is $17.40-19.25/hour. The bonus target for this position is 5%. At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. Whil