Claims Associate Representative - EviCore

📋 Description

• Review, research, and process accounts receivable claims accurately and within established
• Investigate denied, delayed, and underpaid medical claims to identify root causes, discrepancies
• Determine and implement appropriate corrective actions to resolve outstanding claim balances and
• Conduct outbound calls to third-party insurance payers, healthcare providers, and internal
• Maintain detailed and accurate documentation of all claim-related activities in accordance with
• Monitor claim statuses and perform timely follow-ups to ensure outstanding balances are resolved

🎯 Requirements

• High school diploma or GED required.
• At least 2 years of experience in medical claims processing, claims handling, and/or accounts
• At least 2 years of experience in account reconciliation and financial analysis is highly preferred.
• Ability to interpret Explanation of Benefits (EOBs) and Explanation of Payment (EOPs) documents.
• Proficiency in Microsoft Office applications, particularly Word, Outlook, and Excel.
• Strong analytical and problem-solving skills, with the ability to investigate discrepancies and

🎁 Benefits

• Anticipated hourly pay ranging from $17.75 to $24 USD, depending on relevant experience and
• Eligibility to participate in an annual bonus plan.
• Medical, dental, and vision insurance available from the first day of employment.
• Access to behavioral health and well-being programs.
• Access to a 401(k) savings plan.
• Company-paid life insurance coverage.