Collective Health is transforming the way people experience healthcare. We believe that quality and accuracy are paramount to ensuring exceptional member and employer experiences, and that the foundation for analytics can change how we deliver and pay for care. To accomplish this, we are reimagining the operational core of health insurance.
Additionally, Collective Health is expanding its Operations team in Lehi, Utah! As a Claims Processing & Resolution Associate, you will be a founding member of Collective Health’s Plan Operations team in Salt Lake City. In this role, you will be tasked with reviewing complex medical claims and resolving issues with these claims across both internal and external claims processing systems.
What you’ll do:
- Independently review, input and process complex medical claims in accordance with assigned Plans, ensuring that high quality and timeliness standards are met
- Perform routine administrative and clerical tasks to track claims data
- Become an expert in complex cross system resolution and work with other Operations team members to ensure inventory meets our timeliness requirements
- Collaborate, advise and train other Operations team members on the claims resolution processes and intricacies
- Participate in periodic trainings to remain current on procedures and claims processing resources
- Gain in-depth industry expertise in medical claims, reimbursements, and the employer-driven healthcare economy
- Cultivate a culture that aligns with Collective Health values and incorporates the unique aspects of our team
- Above all, you are self-motivated, intellectually curious, and take ownership for everything you do
- You pay extreme attention to detail
- You have strong operational and working knowledge of claims adjudication principles and procedures
- You are interested in using technology to improve healthcare
- You are a committed team player
- You are excited to build and adapt to the adventures of working for a rapidly expanding company
- You possess a passion for Collective Health’s mission to transform the health insurance experience for employers and their employees
- You have 1+ years of experience as a Claims Processor or Claims Examiner (Bachelor’s degree preferred but not required)
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.