PeakTPA provides services that optimize your organization's financial management and fulfill regulatory requirements for health plan functions. Our expertise in health plan management, particularly in PACE, means you can focus on delivering high-quality care to your participants.
Job may be on-site or remotely based as long as candidates meet internet and other specific requirements.
Summary: Under the direction of the Claims Manager and assigned Supervisor, 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.
To search for an open position, please go to http://TabulaRasaHealthcareInc.appone.com