Revenue Specialist

Harvard Pilgrim Health Care Inc

Canton, MA, United States
Base: $21.00 -$31.51; bonus/equity: not specified;...
Fully remote
Develop and refine member eligibility
Update daily/monthly records
Research data rejects
Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare

Job Summary

  • Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare.
  • The Revenue Specialist develops and refines member eligibility and payment records, ensuring the accuracy of beneficiary files and data submission.
  • Point32Health offers a competitive and comprehensive total rewards package including medical, dental, vision, retirement plans, paid time off, and tuition programs.

Matching Summary

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare.

Salary

Base: $21.00 -$31.51; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, retirement plans, PTO, life/disability insurance, tuition program, well-being benefits

Skills & Requirements

Must-have

  • Develop and refine member eligibility
  • Update daily/monthly records
  • Research data rejects
  • Adjust member records
  • Work MSP records
  • Communicate with Claims department

Nice-to-have

  • Community of care culture
  • Inclusion and equal healthcare access
  • Empathy and understanding needs
  • Financial background a plus

Key Requirements

  • 1-2 years related business experience
  • Associate degree
  • Significant MS Office skills
  • Intermediate/advanced Excel and Access skills
  • Solid communication skills
  • Strong organizational and time management skills

Work Rights

Not specified

Tailored Resume

Cover Letter