Claims Specialist
Job description
For over 30 years, HMA has been the premier third-party health plan administrator in the PNW. We relentlessly deliver on our promise to provide employers with customized health insurance plans, for their Staff, that offer high-quality healthcare, at a reasonable cost, with first-rate customer service support.
In 2021 AND 2022, HMA was chosen as a Washington’s Best Workplaces by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.
What we are looking for: We are looking to hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team and helping others succeed, are motivated by tackling complex challenges, are courageous enough to share ideas, are action-oriented, are resilient, and are results-driven.
What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, benefits, and time off packages with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/
How YOU will make a Difference:
The Claims Analyst will work collaboratively with a team responsible for the accurate and timely handling of escalated claims processing, which consist of medical claims that HMA administers for our clients. Your role will be central in contributing to the overall operational excellence in the payment of claims.
What YOU will do:
- Serve as an internal subject matter expert on claims processing, systems and associated regulations at the local, state and federal levels.
- Research and process complex claim submissions, coordinating with internal hospital bill review, customer care, and care management teams.
- Manage inventory of select specialty claims across the book of business.
- Review and consult on specialty processing activities internally and with vendor staff.
- Support team members and be open to providing assistance when and where needed.
- High school diploma required
- 1-3 years of claims processing experience
- Strong written communication skills
- Impeccable attention to detail, with high degree of accuracy and urgency
- Ability to take initiative and ownership of assigned tasks, working independently with minimal supervision, yet maintain a team-oriented and collaborative approach to problem solving
- Experience working with multiple systems and applications simultaneously
How we Support your Work, Life, and Wellness Goals:
We offer a comprehensive total rewards package including: competitive pay; annual incentive; medical, dental, and vision insurance; 401K retirement plan with match; generous PTO and holidays; an onsite gym facility; a gym subsidy; Life, AD&D, Short-Term and Long-Term Disability Insurances; an Employee Assistance Plan; year-round wellness activities; the ability to earn a $500 wellness incentive; monthly events; paid volunteer hours and more! For local employees- free parking and easy freeway access to I-405 and I-520 and a well-stocked kitchen on-site with subsidized snacks and refreshments.
HMA requires a background screen prior to employment.
Protected Health Information (PHI) Access Healthcare Management Administrators (HMA) employees may encounter protected health
Compensation:
The base salary range for this position in the greater Seattle area is $54,891 - $71,473 ($26.39/hr - $34.36/hr) and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. In addition, HMA provides a generous total rewards package that includes: seventeen days paid time off; eleven paid holidays, one paid personal and one paid volunteer day; company-subsidized medical, dental, vision, and prescription insurance; company-paid disability, life, and AD&D insurances; voluntary life insurances; HSA and FSA pre-tax programs; 401(k)-retirement plan with company match; wellness incentive and reimbursement; remote work and continuing education reimbursements; discount program; parental leave; and a charitable giving match. For more information about HMA, visit www.accesshma.com.
Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.
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