Help patients navigate balance billing issues while supporting one of the nation’s leading healthcare cost management organizations.
About Claritev
Claritev is a trusted healthcare solutions company with more than 40 years of experience reducing costs and improving outcomes. With nearly 1 million providers under contract and 70 million consumers accessing our network each year, we deliver innovative cost management strategies across claims, providers, and members. Recognized as a Great Place to Work, we empower employees to grow while making a real difference in healthcare.
Schedule
- Remote, U.S. based (Eastern, Central, Mountain, or Pacific time zones)
- Monday–Friday full-time schedule
- Shift windows:
- PT: 7:00 am – 5:00 pm
- MT: 8:00 am – 6:00 pm
- CT: 9:00 am – 7:00 pm
- ET: 10:00 am – 8:00 pm
What You’ll Do
- Manage inbound calls and inquiries related to balance billing situations.
- Educate members on processes and provide timely updates on claim negotiations.
- Document events tied to medical claims with accuracy.
- Maintain and prioritize a daily inventory of claims.
- Send letters, manage emails, and record contact details for each member.
- Collaborate across departments while keeping leadership informed of critical issues.
- Ensure compliance with HIPAA and internal standards.
What You Need
- High school diploma (college degree preferred).
- Experience in healthcare claims management, including facilities, providers, and members.
- Ability to interpret benefit plans and Explanations of Benefits (EOBs).
- Strong communication skills, both written and verbal.
- Skilled in handling high call volumes and multitasking in fast-paced environments.
- Professional, organized, detail-oriented, and adaptable.
- PC literate with Microsoft Office and web-based applications.
- Bilingual (English/Spanish) preferred.
Compensation & Benefits
- $20–$24 per hour
- Health, dental, and vision coverage with low deductible & copay
- Life insurance, short- and long-term disability
- Paid parental leave
- 401(k) with company match
- Employee Stock Purchase Plan
- Generous Paid Time Off (accrued by years of service)
- 10 paid company holidays
- Tuition reimbursement
- Flexible Spending Accounts
- Employee Assistance Program
- Recognition programs and career advancement opportunities
Bring empathy, problem-solving, and professionalism to a role where you’ll truly advocate for patients.
Happy Hunting,
~Two Chicks…