Peak Health Plan Management Services offers PACE third party back-office solutions, including claims processing, billing and health plan management solutions, along with over a decade of serving PACE/LIFE programs throughout the United States. Peak Health Plan Management Services operates as a service of Capstone Performance Systems, a subsidiary of Tabula Rasa HealthCare.
Job may be on-site or remotely based
Summary: Under the supervision of the Claims Manager, the Claims Examiner is responsible for processing claims and meeting defined quality and productivity standards.
Claims Processing and Payment
Communicates clearly and concisely, with sensitivity to the needs of others
Maintains courteous, helpful and professional behavior on the job; displays a willingness and ability to be responsive in a warm and caring manner to all customer groups; consistently cooperates and supports organization in problem solving issues; ensures customer satisfaction by understanding and applying the Customer Service Policy, Procedure and Standards; will support the success of the entire team; establishes and maintains effective working relationships with co-workers
Follows all Policies and Procedures and HIPAA regulations
Maintains a safe working environment
Maintains the confidentiality of all company procedures, results, and information about participants, clients, providers and employees
Supervisory Responsibility: None
Travel: Minimal travel, less than 10% is expected for this position. For remote positions, travel is required for initial training and for necessary, subsequent training. Travel may also be required for company events.
Knowledge, Skills and Abilities:
Physical Demands & Requirements:
This position is currently not accepting applications.
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