Who We Are:
At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models.
The combination brings together healthcare expertise, AI/machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem. We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.
About the role:
As a Claims Administrator I, you will perform document retrieval and ensure the hygiene of medical record files, billing documents, and claims workflow.
Who you are:
- Perform incoming claim review and document hygiene by assigning appropriate statuses, reviewing and organizing data, and routing completed files to appropriate auditors.
- Collaborate with internal teams to manage the import queue, assign statuses, perform balance reconciliation, compare charges to appropriate forms, identify and update errors, and route completed files to appropriate auditors.
- Manage the intake and output of files, handling communication regarding questions, discrepancies, and errors.
- Review data and identify trends from various documents and systems, communicating with internal and external teams; paying particular attention to status updates, claims routing, intake efficiency, claim status, inventory, and volume.
- Ensure appropriate volume levels, verify effective data transfer protocols, and monitor file-sharing avenues.
- Perform data entry of documents and other duties as assigned.
What you bring to the table:
- Preferred experience in medical record review with a demonstrated knowledge of medical terminology.
- Intermediate to advanced computer skills, including proficiency in Microsoft Office Suite and Adobe Acrobat, with the ability to use multiple monitors and adapt to all company-specific software.
- Exceptional attention to detail, with excellent organizational, analytical, and critical thinking skills.
- Strong interpersonal and team-building skills, with the ability to collaborate with a diverse team and drive change across functional and business boundaries.
We recognize that people come with experience and talent beyond just the technical requirements of a job. If your experience is close to what you see listed here, please consider applying. Diversity of experience and skills combined with passion is a key to innovation and excellence. Therefore, we encourage people from all backgrounds to apply to our positions. Your skills and background may be more translatable to this role than you initially thought. Allow us the opportunity to get to know you. Please let us know if you require accommodations during the interview process.
What Apixio can offer you:
- Meaningful work to advance healthcare
- Competitive compensation
- Exceptional benefits, including medical, dental and vision, FSA
- 401k with company matching up to 4%
- Generous vacation policy
- Remote-first & hybrid work philosophies
- A hybrid work schedule (2 days in office & 3 days work from home) (Note: If the position is designated as REMOTE it will stay REMOTE)
- Modern open office in beautiful San Mateo, CA; Los Angeles, CA; San Diego, CA; Austin, TX and Dallas, TX
- Subsidized gym membership
- Catered, free lunches
- Parties, picnics, and wine-downs
- Free parking
We take your privacy very seriously. Please review our privacy policy to see exactly how we protect your information here
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.
Notice to Recruiters/Staffing Agencies
- Recruiters and staffing agencies should not contact Apixio through this page. All recruitment vendors (search firms, recruitment agencies, and staffing companies) are prohibited from contacting our hiring manager(s), executive team members, or employees
- We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file
- Apixio receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Apixio and such organization and will be considered unsolicited and Apixio will not be responsible for related fees
LI-RB1
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