Job Description

Medical Claims Associate | $45,000+ |Lincoln, NE| Direct Hire | Hybrid

What Matters Most:

· Pay: Starting at $45,000 annually

· Schedule: Training (12 Weeks): Monday – Friday, 7:30 a.m. – 4:30 p.m., In-Office

· Post-Training: Monday–Friday, 8:15 a.m. – 5:00 p.m.

· After 6 Months: Must be available to work a rotating schedule (9:15 a.m. – 6:00 p.m.) approximately 12 times per year.

· Hybrid Work Schedule

· Location: Lincoln, NE

· Direct Hire opportunity with long-term career growth

Job Description:

Are you passionate about making a difference in the healthcare and insurance industry? As a Medical Claims Associate, you’ll play a critical role in reviewing, investigating, and analyzing medical claims, ensuring accuracy and efficiency. This position is ideal for someone who thrives in a fast-paced environment, enjoys problem-solving, and is committed to delivering exceptional service to members and providers.

Responsibilities:

· Review, investigate, and analyze medical claims for completeness and accuracy.

· Process medical claims in compliance with company and regulatory guidelines.

· Provide outstanding customer service by answering inbound calls from members and providers.

· Make outbound calls to gather additional information or clarify claim details.

· Analyze and respond to information requests from various stakeholders.

· Set and meet challenging personal and team performance goals.

Qualifications:

· High School Diploma or equivalent, associate degree preferred

· Up to 12 months of experience in medical claims processing, healthcare billing, or working with medical insurance plans.

· Telephone customer service experience.

· Strong interpersonal and communication skills.

· Ability to meet quality and production standards in a fast-paced environment.

· Proficiency with computer systems and applications.

· Availability to work overtime on Saturday mornings (6:00 a.m. – 1:00 p.m.) as needed.

Benefits and Perks:

· Comprehensive Medical, Dental, and Vision Insurance

· Health Savings Account (HSA) and Flexible Spending Account (FSA) Options

· 401(k) Retirement Plan with Company Match

· Generous Paid Time Off (PTO) and Paid Holidays

· Paid Parental Leave

· Tuition Reimbursement and Professional Development Opportunities

· Employee Assistance Program (EAP)

· Wellness Programs and Incentives

· Life and Disability Insurance

Your New Organization:

Be part of a nationally recognized organization known for its outstanding culture, commitment to balance work-life, and employee development. This team is driven by a mission to improve the well-being of millions through innovative healthcare solutions. With a hybrid work schedule, modern office facilities, and a supportive team environment, this is the perfect opportunity to build a rewarding, long-term career.

Your Career Partner:

The Reserves Network, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and thrive in your field. As an equal opportunity employer, we value diversity and foster a workplace built on respect, integrity, and trust.

In the spirit of pay transparency, we want to share that the starting base salary for this position is $45,000 annually, not including benefits or potential additional compensation. Your final salary offer will be determined based on factors such as individual skills, qualifications, relevant experience, and geographic location. We are committed to pay equity and will also consider internal equity among current team members as part of any final offer. Please note, the range mentioned is the full base salary range for this role, and hiring at the maximum of the range would not be typical in order to allow for future growth and salary progression.

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