Provider Maintenance Clerk

Full Time
United States
Posted
Job description

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Health Benefits, you will be part of an organization committed to offering custom self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency, and customer support. We are now a subsidiary of Health Care Service Corporation, the largest customer-owned insurance company in the United States and a strategic partner of Health Benefits since 2018, giving us access to increased national scale and support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration, and service to our communities.


We are looking for a Provider Maintenance Clerk in our Repricing and Provider Maintenance Department. The primary role of the Provider Maintenance Clerk is to enter, update and maintain provider, vendor, and network information within the Health Benefits system.


In this position, you will have the ability to work from home. Your work schedule will be 8:00 am - 4:00 pm EST, Mon – Fri.


Job Responsibilities include:

  • Enter, update, and maintain provider, vendor, and network information within the Health Benefits system.
  • Investigate, correct, and resolve provider or network issues routed by Pre-Processing, Claims, Customer Service, or outside vendors.
  • Reprice claims and/or appropriately route claims for repricing.
  • Back-up Pre-Processing as needed.
  • Miscellaneous clerical tasks, duties and projects as needed.

Job Qualifications:

  • High School Diploma or GED equivalent
  • Detail oriented
  • Excellent data entry skills
  • Ability to work in a fast-paced, customer service and production driven environment
  • Flexible; open to change
  • Effective verbal and written communication
  • Ability to work effectively with team members, associates, members, and providers
  • Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Word/Excel
  • Previous provider billing experience is a plus
  • Must be able to work a 37.5 hr. work week with between the hours of 8:00 am - 4:00 pm EST Mon-Fri.

At Health Benefits, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.


The compensation range for this full-time Provider Maintenance position is between $15.00/hr. and $22.59/hr. The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.


All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.


Required Skills

Required Experience

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