Remote Medical Claims Specialist

Summary

Join our team at Ride Health as we remove transportation barriers for vulnerable populations. We're hiring a NEMT Medical Claims Specialist to process claims efficiently and accurately.

Requirements

• Bachelor’s degree or equivalent experience
• 2+ years of experience in healthcare or medical claims processing or a related role
• Demonstrable high degree of proficiency in spreadsheet software
• Meticulous attention to detail and accuracy
• Strong ability to work independently and manage time effectively
• Excellent analytical and problem-solving skills
• Comfortable collaborating in a fast-paced environment
• Strong communication skills, both written and verbal

Responsibilities

• Review and process NEMT claims submissions, ensuring accuracy and completeness
• Track and correct rejected as well as denied claims within timely filing period
• Utilize business intelligence tools (e.g., Looker) to analyze data and generate reports related to claims processing and performance metrics
• Navigate and manage third-party administrator portals and aggregation tools to track claims status and resolve discrepancies
• Collaborate with internal teams and external partners to facilitate timely claims resolution
• Maintain accurate records and documentation for all claims activities
• Conduct regular audits to identify areas for process improvement and ensure compliance with regulations
• Provide exceptional customer service to clients and stakeholders regarding claims inquiries.ations
• Continuously identify opportunities for process improvements, automation, and enhanced efficiency within the accounting function

Preferred Qualifications

Preferred experience: OfficeAlly, third-party administrator portals (e.g., WPS), Looker

Benefits

• Competitive compensation $50,000 to $60,000
• Career advancement opportunities
• Remote - skip the commute. Some in person sessions required
• Paid Time Off
• Medical, Dental, and Vision insurance - multiple great coverage options offered for employees and dependents with generous company contribution and quick eligibility
• Need to add dependents? We help with that too
• TalkSpace, Healthy Advocate EAP, Teledoc, One Medical, KindBody - yep, all company provided
• Life insurance, short-term disability, long-term disability - again, all paid for by Ride Health
• 401k retirement savings plan with 4% fully vested employer match right out of the gate
• Fully paid parental leave