
Healthcare Innovator
2 days ago
Job Overview
We're on a mission to make healthcare more accessible and we need your expertise to help us achieve this goal.
About the RoleThis is an exciting opportunity to join our team as a Claims Officer, where you will be responsible for overseeing claims evaluation processes for various services such as maternity, dental, and lab fees.
You will manage and oversee claims processing, ensuring all supporting documents are complete and accurate.
You will also lead and build a team to ensure smooth and efficient claims operations.
In addition, you will develop and enhance reporting tools within our platform, ensuring data accuracy for hospital bills, procedures, and professional fees.
You will drive process improvements for healthcare claims operations with a focus on automation and efficiency.
Recommend and implement technological solutions to optimize workflows, leveraging operational and technical insights while being hands-on with daily processing.
Collaborate cross-functionally with healthcare, finance, and product teams to ensure smooth integration of new systems and procedures.
Responsibilities- Oversee claims evaluation processes for maternity, dental, and lab fees
- Manage and oversee claims processing, ensuring accuracy and completeness of supporting documents
- Lead and build a team for smooth and efficient claims operations
- Develop and enhance reporting tools for hospital bills, procedures, and professional fees
- Drive process improvements for healthcare claims operations with a focus on automation and efficiency
- Implement technological solutions to optimize workflows and leverage operational and technical insights
- Cross-functional collaboration with healthcare, finance, and product teams
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field
- Previous experience in healthcare claims processing, preferably in a startup or tech-driven environment
- Familiarity with medical coding and billing procedures
- Curious, results-driven, ownership mentality with growth mindset
- Excellent verbal and written communication skills
- Collaborative team player with ability to adapt quickly in a fast-paced environment
- Passion for innovation in healthcare
Benefits
- Comprehensive healthcare coverage for you and your dependent
- Paid time off from the start
- Growth opportunities through mentorship, career development, and learning
- Global connections with top minds at Harvard, Stanford, and beyond
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