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Claims Management Specialist - Full Time - Remote/Hybrid

Company: Experity
Location: Atlanta
Posted on: September 24, 2022

Job Description:

X marks the spot!

Experity Earns 2022 Great Place to Work Certification

Employees confirm positive workplace fostered by Experity, with over 90% of respondents saying they are proud to tell others that they work at the company.

We are the national leader in on-demand care solutions, and we take great pride to announce that Experity is now Certified by Great Place to Work - the global authority on workplace culture, employee experience, and the leadership behaviors proven to deliver leading revenue, employee retention and increased innovation.

Experity is a fast-paced, high-growth company that considers its people to be its greatest strength, as they are the engine that powers the company's driving mission to improve urgent care and the patient experience. Experity works diligently to continue meeting the wants and needs of employees and fostering a positive, balanced workplace culture.

We are the country's largest electronic health records company for the urgent care market and provide an integrated operating system. Nearly 50% of the U.S. urgent care market runs on Experity solutions.With Experity, providers can best meet the demands of the evolving on-demand space and deliver high-quality, high-velocity care by streamlining operations, improving patient experiences and optimizing revenue.

Experity's technology serves 5,700-plus clinics today across the US!

Great place to work article:

Benefits - We love all our X-tras! What's in it for you?

* Flexibility- Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling
* Career Development- Our Training Manager has created a learning program foundation for the company that will allow Team Members to explore their potential and achieve their career goals
* Investing in You- We invest in our team members so they can reach their financial independence - Smart Dollar is a Step-By-Step Plan that helps our team members Eliminate Debt, Save For Emergencies, and Retire With Confidence
* Team Building -We bring our Team Members together when we can to strengthen the team, build relationships and have fun! We even have a family company picnic and a holiday party
* Benefits- And of course all of our wonderful benefits:
* Medical, dental and vision
* 401K -Eligibility for starts the 1st of the month following completion of 90 days of employment including company match
* Paid time off and so much more!

Hybrid/remote workforce:

This position is eligible to work remotely or a hybrid of remote and in the office. If you live a commutable distance to one of our office we would love to see you!

Position Details:

The Claims Management Specialist position will provide support during and after implementation for healthcare clearinghouse applications, website access, and electronic funds transfer setup and/or updates. This position will respond to inquiries regarding EDI issues with enrollment, claims, payments, and/or clearinghouse activities and conduct analysis of EDI transactions.


* Manages electronic clearinghouse to ensure claims are corrected and submitted daily and enrollments are in place for assigned clinics
* Supervises the efficiency of the electronic data exchange to ensure claims are corrected and submitted daily and required enrollments are in place
* Ability to work rejected unresolved claim issues and report trends to supervisor and client success manager
* Communicates with internal and external customers via phone calls and written communications as needed
* Expert in recognizing problems effectively and researching the resolution
* Ability to solve the detected issues within the given time requirements
* Flexible with learning new tools and processes whenever required
* Set up insurance website access for Experity users and clients and maintain updated login information
* Manages a shared email box for all of RCM client requests from internal and external stakeholders
* Set up electronic funds transfer, update bank information and send out payer notifications to optimize cash flow for all clients
* Provides support for Claims Management Supervisor
* Researches, records findings, and communicates effectively with Supervisor to achieve optimum performance.
* Maintains patient confidence and protects medical office operations by keeping patient information confidential
* Contributes to team effort by accomplishing related results as needed
* Other duties as assigned

Education and Experience:

* High school diploma or equivalent
* Minimum of two years of related experience in a business, medical or technical environment
* Previous experience in a medical office setting and/or experience with an Electronic Medical Record software

Every team member exhibits our core values:

* Team First
* Lift Others Up
* Share Openly
* Set and Crush Goals
* Delight the Client

Keywords: Experity, Atlanta , Claims Management Specialist - Full Time - Remote/Hybrid, Executive , Atlanta, Georgia

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