Job Description
About Lucent Health
Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.
Company Culture
We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.
Honest
- Transparent Communication : be open and clear in all interactions without withholding crucial information
- Integrity : ensure accuracy in reporting, work outputs and any tasks assigned
- Truthfulness : provide honest feedback and report any issues or challenges as they arise
- Trustworthiness : build and maintain trust by consistently demonstrating reliable behavior
Ethical
Fair Decision Making : ensure all actions and decisions respect company policies and valuesAccountability : own up to mistakes and take responsibility for rectifying themRespect : treat colleagues, clients and partners with fairness and dignityConfidentiality : safeguard sensitive information and avoid conflicts of interestHardworking
Consistency : meet or exceed deadlines, maintaining high productivity levelsProactiveness : take initiative to tackle challenges without waiting to be askedWillingness : voluntarily offer to assist in additional projects or tasks when neededAdaptability : work efficiently under pressure or in changing environmentsSummary :
Government Claims Processor / Examiners are a key part of the department’s successful operation. Processor / Examiners are in daily contact with team members, clients and providers. This position reports to the Supervisor, Government Operations. A cheerful, competent and compassionate attitude will directly impact the productivity of the team. Attendance can also directly impact the satisfaction level of our clients and retention of our accounts.
Responsibilities :
Process claims accurately, efficiently and within production requirementsExhibit an attention to detail and a strong work ethicAbility to access research tools for accurate claims entryBe organized and able to manage time and resources efficiently and effectivelyThorough knowledge of coding structures (CPT, HCPCS, Rev codes, ICD 9 / 10 etc)Ability to perform arithmetic calculationsKnowledgeable of COBFamiliarity with benefits and benefit calculationsAbility to handle many types of claims pricing (Network, Medicare, UCR etc)Performs duties in a HIPAA compliant mannerParticipate as a Team Member to ensure the smooth operation of the entire departmentMaintain guidelines and notes with detail to enable accurate claims examinationMaintain production goals regarding the number of claims entered and accuracy percentages.Qualifications :
Proficient in the use of desktop computer software.Excellent communication via written, telephonic and personalAbility to manage and follow through consistently and accuratelyAttention to detailCompletion of all responsibilities in a timely mannerHighly organized work habitsEqual Employment Opportunity Policy Statement
Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.