Claims Processor

Sana benefits · USA

Company

Sana benefits

Location

USA

Type

Full Time

Job Description

Our health system is broken, and it’s a huge problem. Costs are rising out of control while the patient experience gets worse. At Sana, we're passionate about fixing this problem by bringing accessible and affordable health plans to small and medium businesses. We've built an innovative team with top talent from across the health insurance and tech industries to create engaging, modern plans for our clients. This allows our customers to offer competitive benefits packages while paying an average of 20% less than traditional plans.

We’re currently seeking a Claims and Appeals Processor who will be responsible for processing insurance claims in a timely and accurate manner. This includes gathering and verifying claim information, researching and resolving claim issues, and communicating with claimants to ensure their satisfaction.

We are building a distributed team and encourage all applicants to apply, regardless of location. 


What you will do:
  • Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary. 
  • Maintain accurate and up-to-date notes of all claims processed.
  • Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties.
  • Become an in-house expert on all claims-related matters and provide answers and support to  Customer Success and Customer Support teams.
  • Identify operational issues and escalate them to the appropriate internal team. 
  • Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.
  • Work independently and as part of a team to meet deadlines and ensure customer satisfaction.




About you:
  • Two-year degree and/or two years of claims adjudication and processing experience
  • Unparalleled attention to detail. You love getting into the weeds to get things done.
  • Excellent written and verbal communication skills.
  • Ability to work independently and as part of a team.
  • Fast learner. Entrepreneurial. Self-directed.
  • Ability to meet deadlines and work under pressure.
  • Experience in claims processing, knowledge of insurance principles and procedures is a plus.



Benefits:
  • Stock options in rapidly scaling startup
  • Flexible vacation
  • Medical, dental, and vision Insurance 
  • 401(k) and HSA plans
  • Parental leave
  • Remote worker stipend
  • Wellness program
  • Opportunity for career growth
  • Dynamic start-up environment

About Sana
Sana is a modern health plan solution for small and medium businesses. We use a more efficient financing structure and integrated technology solutions to cut out wasteful spending and get members access to better quality care at lower cost. Founded in 2017, we are an experienced team of engineers, designers and health system operators. We have the financial backing of Silicon Valley venture firms and innovative reinsurance partners. If you are excited about building something new and being a part of fixing our broken healthcare system from the inside, please reach out!

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health system is broken Jobs costs are rising out of control Jobs patient experience gets worse Jobs bringing accessible and affordable health plans Jobs 20% less than traditional plans Jobs More Jobs at Sana benefits Jobs in USA
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Date Posted

12/20/2023

Views

3

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