Claims and Benefits Specialist and Health Assistant
Accolade Inc. is an innovative consumer services company, dedicated to helping people get the right care the first time. Our Accolade Health Assistants(r) take the time to get to know individuals, understanding the context of their healthcare decisions, building trust and influencing decisions as they navigate the complex healthcare system. By integrating leading technology, analytics and clinical decision support, we're able to create personalized engagement and care plans for every client. This high-touch, high-tech approach consistently results in better savings, improved health outcomes, near-perfect client satisfaction ratings and Net Promoter Scores ranking among the world's most respected brands. Founded in 2007 and headquartered in Plymouth Meeting, Pa., Accolade has nearly 500 employees serving the families of some of the nation's largest self-insured employers and payers. The company has been recognized as one of the nation's 25 most promising companies by Forbes magazine, the fastest-growing private healthcare company by Inc. 500, and the No. 1 mid-sized company by Top Workplaces in Philadelphia.
Areas of Expertise Experienced with medical, dental, pharmacy, authorizations and behavioral claims processing, auditing, medical terminology, insurance billing, appeals/grievances, data validation, AHCCCS, Medicare and Medicaid and commercial Plans. Customer Service UB, HCFA, PPO, HMO, ICD-9, CPT COB, HIPPA,PMMIS, Insur Image/Viewer Microsoft Office Applications, AS400, Genelco, PPCPROD, IP Framework Strong oral and written communication skills. Supervisory and leadership skills.
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