Stop Loss Support Specialist
Voya FinancialSalary not specified
- Full Time
- Junior (1 to 2 years)
$65,000 – $70,000Compensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare InsuranceIndustries
Requirements
Candidates should possess 4 years of stop loss claims experience, prior experience handling first dollar payer insurance (medical healthcare claims), and an understanding of medical billing practices, CPT codes, revenue codes, and/or universal billing. An Associate’s degree is required, with a Bachelor’s degree preferred, along with detail-oriented skills, a high degree of accuracy, and the ability to multitask effectively. Strong problem-solving, decision-making, reporting, and analytical skills are also necessary, as is the ability to work independently, prioritize, organize, and meet deadlines, and demonstrate proficiency in Microsoft Excel.
Responsibilities
As a Stop Loss Analyst, you will serve as a key leader with ownership of end-to-end stop loss policy administration for Centivo’s self-funded clients, ensuring timely reporting and stop loss claim filing with various carriers. Responsibilities include monitoring members and clients approaching stop loss limits, generating reports, gathering supporting documentation, compiling claim filings, communicating with various departments and external vendors, validating filing denials, processing claims, determining eligibility, and elevating issues as needed. You will also perform other duties as assigned, contributing to the overall success of Centivo’s operations.
Skills
Stop Loss Claims
Medical Billing
CPT Codes
Revenue Codes
Universal Billing
Data Reporting
Analytical Skills
Problem-Solving
Decision-Making
Microsoft Excel
Centivo
Affordable health insurance with primary care focus
About Centivo
Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.
Key Metrics
Buffalo, New YorkHeadquarters
2017Year Founded
$183.7MTotal Funding
DEBTCompany Stage
Financial Services, HealthcareIndustries
201-500Employees