Location: Statewide
Company: All Star Operations
CT After your initial six weeks of paid training, your regular shift hours offer some flexibility regarding when you start your day, however, your eight-hour shift must be completed by 6:00 PM ET. Location: FULLY REMOTE Note: This is not a call center or customer service job At Patriot RN, we pride ourselves on processing long-term care claims accurately and efficiently so we can provide important financial reimbursement to the people who need it most.
Working behind the scenes in the long-term care industry, our Claims Examiners provide deserving benefits to the aging and infirmed populations who depend on their claims to be accurately processed and ultimately paid. The Patriot RN TEAM
is unique. Each Claims Examiner starts their career the same way - with an opportunity for growth. Heather was promoted to Team Lead after one year as a Claims Examiner at Patriot RN.
Now she is a Supervisor. Megan was promoted to Team Lead after 14 months as a Claims Examiner at Patriot RN. Jared ascended to a Trainer with one of the client partners after two years as a Claims Examiner. Curious about where your journey will take you? Patriot RN's Claims Examiners are A-players and represent the top 10% of available talent in the market. Our ROCKSTAR Claims Examiners are smart, detail-oriented, natural problem solvers, and want to continuously grow and become more knowledgeable. Ideal
Candidate Characteristics: Recent college graduate with B. S. or B. A.
in Math, Actuarial Sciences, Economics, Statistics, Finance, Accounting, or a related field Detail-oriented and highly organized - a Hermione Granger at heart! Eager to take on any challenge Self-driven with the ability to work effectively from a home office You work best alone because it gives you the chance to focus Quick with math - you don't use a calculator to figure out the tip for a $10 meal It bothers you when your friends and family are not honest about even the smallest things You wish everyone used common sense. like. all the time Key Responsibilities and Measures of Success: Adjudicate routine home health and facility-based claims for long-term care 98% Financial Accuracy Review and pay claims according to the claimant's policy and prescribed plan of care.
Verify the provider of care is appropriate and in accordance with contract language and government regulations regarding healthcare providers and matches the plan of care for the associated dates of service 98% Procedural Accuracy Determine benefit eligibility and payable amounts based on policy language and the client's required procedures 42 Claims Processed per Day Learn more about working at Patriot RN: When a Long-Term Care Claims Examiner does their job well (with attention to detail and accuracy in determining reimbursement), a long-term care beneficiary has huge financial stress taken off their shoulders.
That is why our Claims Examiners share the following Core Values. PATRIOT RN CORE VALUES: LOVE A CHALLENGE If shows like CSI are one of your favorite shows, and/or you love solving puzzles then you could be a great fit for our team. Peeling back layers of claims history and really doing a thorough examination of the documentation is the crux of being a Patriot RN Claims Examiner HIGH ATTENTION TO DETAIL If you have a gift for organization, enjoy working from lists, prefer to maintain a routine, make quality a priority, and are super focused- then we may have the dream role for you CONSISTENT If you behave the same way, have the same attitudes towards people and things every day, and work diligently to hit the bar day-in and day-out, without drama, then pinch yourself - this role is perfect for your personality!
EAGER TO LEARN & GROW If you are a bit of a nerd and have a passion for lifelong learning coupled with the desire to grow professionally and personally. BONUS TRAIT: you " geek out" over process improvement - then WOW - consider yourself lucky for finding a genuine career field.
HONESTY Honesty is a virtue and the true foundational value of our team. We expect honesty about situations or events. Additionally, we also expect honest communication between colleagues and managers. Being honest allows us to take responsibility for our work, improve any areas where we may be lacking, and ask for help when necessary Benefits: Medical, Dental, Vision 401k w/matching PTO Paid Holidays PAY: $18.75/hour Application Process: Apply online Complete online backssment within 24 hours of application Set aside at least 35 minutes to complete the backssment, as it cannot be interrupted once it begins Initial Zoom interview (Approximately 15 minutes) Deep Dive Interview (Approximately one hour) :
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