Medical Claims Associate

Do you have medical claims experience and an interest in improving our communities? If you are looking for a great place to work with opportunities to grow, develop, and advance, you will find it with this membership-based energy cooperative. Energy cooperatives provide electric power to over 40 million Americans and this company has over 700 employees supporting more than 900 consumer owned electric cooperatives across the country. This organization believes in building a better world, and offers paid time off for volunteer work in your community. They are growing, and they are looking to add a new medical claims processor to their organization.

Duties of the claims processor:

• Under supervision, investigate and analyze medical claims and issues related to eligibility, benefit coverages, network, and pricing
• Process and pay medical claims. Determine when to pay or deny claims and issue benefits 
• Answer incoming calls, emails, faxes, and written correspondence regarding customer inquiries or complaints with benefit correction requests
• Make outbound calls to members or service providers as necessary.

Requirements of the claims processor:

• High School diploma or GED, Associate degree preferred
• Certification in a medical terminology course within six months of hire into the job
• 1-3 years experience in medical/dental claims processing environment or in a healthcare billing/medical back office submitting claims

Perks of the medical processor:

• Direct hire opportunity
• Traditional Mon-Fri daytime schedule
• Pay starting at $18 / hour, higher based on experience
• Comprehensive benefit package including medical/dental/vision, PTO, 401k, and more

The Reserves Network is a family-owned and veteran-founded company. Since 1984, we have been bringing employers and job seekers together in a variety of industries and positions. 

As an equal opportunity employer, we value our employees and foster an environment of respect, integrity and trust in every aspect of employment. However you identify and whatever your background, we encourage you to apply today or you can download our mobile app to receive and accept real-time job notifications.

EEO//Veteran/disability Employer