Job Description
Claims Processor
(English Speaking)
at Carrot Fertility (View all jobs)
Remote
About Carrot:
Carrot Fertility is the leading global fertility care platform for women, who are often at the center of fertility care decisions and consequences. Plus, Carrot serves people of every age, race, income, sex, sexual orientation, gender, marital status, and geography. Trusted by hundreds of multinational employers, health plans, and health systems, Carrot’s comprehensive clinical program delivers industry-leading cost savings for employers and award-winning experiences for millions of people worldwide. Whether there is a need for care through fertility preservation, male-factor infertility, pre-pregnancy, IVF, pregnancy and postpartum, adoption, gestational surrogacy, or menopause, Carrot supports members and their families through many of the most memorable and meaningful moments of their lives.
The Role:
Join our team as a Claims Processor and play a vital role in providing an exceptional member experience! In this role, you will review and evaluate out-of-pocket expenses submitted by our members, including expenses made with their Carrot Card. Working closely with our Reimbursements and Care Navigation teams, you will ensure that claims are processed accurately and efficiently. To excel in this role, you should be detail-oriented, possess excellent communication skills and comfortable working during the hours (2am-11am PST).
The Team:
Join our Payments team at Carrot Fertility and make a meaningful impact on our members’ fertility journeys! As a team member, you will work closely with insurance payers to ensure that payment for applicable care is coordinated accurately and efficiently. You will also be a part of our larger Member Success team, collaborating with colleagues from diverse backgrounds to provide exceptional support to our members. With our fully distributed team across the entire US, you’ll have the opportunity to work closely with colleagues from different regions and better serve our members
Minimum Qualifications:
- 1-3 years of relevant work experience including claims submission/processing experience
- Highly detail-oriented and organized
- Structured thinker and love checking things off your to-do list
- Excellent verbal and written communication skills
- Problem-solving skills to analyze, troubleshoot and resolve issues
- An innovative spirit to push the boundaries
Preferred Qualifications:
- Strong Interpersonal Skills
- Fluency in other languages
- Ability to thrive in a fast-paced, results-oriented environment
- Solve problems creatively and think on your feet
- Ability to lean in to changing priorities and processes
- Track claims and denials through the entire lifecycle
- Identify gaps in claims and reach out to providers for missing information
- Help members troubleshoot issues involving claims or eligibility