Claims Analyst I

Are you ready to elevate your career? WellNet Healthcare would like to hear from you today! Join an industry leader and innovator and help drive our mission of providing high-quality healthcare plans and services to individuals and families across the country. We are committed, every day, to saving money and improving outcomes for companies and their employees.

If you are a “do whatever it takes” person, and feel motivated by a supportive, tight-knit group of people with purpose and a growth mindset, we encourage you to apply.

• You have a strong background in processing claims and determining that a client’s benefits are correctly applied.
• You have demonstrated expertise in ensuring claims are coded accurately to support proper billing and data analysis.
• You have reviewed claims for prior authorization and member eligibility.
• You have a history of consistently providing a high-quality level of claims service to clients.
• You feel confident in your ability to run reports on accounts to assist in backlog management.
• You don’t hesitate to engage in outreach to obtain information needed to complete claims processing. You can make outbound calls to members and/or providers.
• You can provide backup support to the processing team in order to run our operations smoothly and efficiently.

• Have a minimum of an associate degree or 2 years of claims experience.
• Have excelled in a call center.
• Have knowledge of/experience in the self-funded health insurance industry.
• Possess a solid working knowledge of Microsoft Office, particularly Excel.
• Are exceptional in your phone etiquette and can demonstrate strong communication skills.
• Consider yourself to be an active listener.
• Have exceptional problem-solving ability. You devote time, effort, and resources to figuring out effective solutions.
• Have values that align with ours: optimism, respect, growth, adaptability, and building long-term, meaningful relationships.

• Competitive salary and full benefits package including medical, dental, vision, 401k, generous PTO, and a host of voluntary benefits.
• A friendly, vibrant environment focused on continuing learning and development.
• Bright, open, modern office space designed for meaningful interaction.
• Casual dress code.
• Hybrid work schedule.
• The opportunity to continue to grow and shape your career with a leader in the industry.

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Located in Feasterville-Trevose, PA, 19053

Please send an email to [email protected] and include a letter of interest and resume.