Remote Jobs at Centivo

Candidates should have relevant experience in the healthcare industry or a related field. A strong understanding of health insurance models and a commitment to improving healthcare accessibility are preferred.

Candidates should possess a High School diploma or equivalent, with an Associate degree being preferred. A minimum of one year of experience in health plan operations, claims processing, subrogation, or a related field is required. Proven organizational, reasoning, problem-solving skills, and attention to detail are essential. Strong verbal and written communication skills are necessary, along with knowledge of applicable rules, insurance principles, and subrogation/NSA concepts. The ability to …

Candidates must possess demonstrated ability to identify platform limitations requiring external vendor collaboration, perform contract reviews for configuration accuracy, and analyze claims for pricing accuracy against contract requirements. Exemplary customer service skills, excellent analytical and problem-solving skills, and the ability to work independently and as part of a team are essential. The role requires multitasking, critical thinking, strong attention to detail and accuracy, and th…

Candidates must possess strong organizational and multi-tasking skills with excellent attention to detail. Required skills include strong written, verbal, and interpersonal communication abilities, with a particular aptitude for identifying and clearly articulating inconsistencies and issues. Familiarity with ERISA, Internal Revenue Code, HIPAA, MSP, COBRA, ACA, and WHCRA is essential. A Bachelor's degree is preferred.

Candidates should possess claims adjudication experience and a TPA background. Familiarity with Centivo’s claims systems (Javelina and HealthRules Payer) is preferred. Advanced problem-solving, organizational, and decision-making skills are essential, along with the ability to work independently and collaboratively in a fast-paced environment. Proficiency in Microsoft Office and web-based applications, as well as experience running queries and performing data analysis, are required. Excellent ve…

- Prior experience with a highly automated and integrated claims processing system - Experience working with HealthRules Payer preferred - Knowledgeable about healthcare claims, medical coding, and rules applicable to Benefit Plans - Strong critical thinking skills and willingness to make independent decisions with little supervision - Excellent oral and written communication skills - Proven ability to work in a fast-paced environment, managing multiple issues with pressure of production schedul…