Simplifying at-home health testing for everyone
Everlywell, headquartered in Austin, Texas, is a leading digital health company that simplifies at-home health testing. With over 30 different tests available, including food sensitivity and hormone tests, Everlywell serves hundreds of thousands of customers across the U.S. The company has raised ov...
Everlywell offers competitive salaries, equity options, flexible PTO, and a remote work policy that allows employees to balance their personal and pro...
Everlywell fosters a culture focused on accessibility and transparency in health testing. The company values innovation and encourages employees to co...
Everlywell • Austin, TX
Everlywell is seeking a Claims Operations Specialist to support the revenue cycle and payer operations team. You'll manage claims, communicate with payers, and assist with payer enrollment. This role requires familiarity with EHR systems, including Athena.
You are a detail-oriented individual with a strong understanding of claims management and payer operations. You have experience navigating EHR systems, particularly Athena, and are comfortable communicating with various stakeholders to ensure timely claims processing. Your organizational skills allow you to maintain operational documentation effectively, and you are eager to contribute to cross-functional projects that enhance the overall efficiency of the organization. You thrive in a collaborative environment and are ready to support your team in achieving their goals.
Experience in the healthcare industry or familiarity with HEDIS and risk adjustment processes would be a plus. You are proactive in seeking solutions and have a knack for problem-solving, which helps you address outstanding accounts efficiently.
As a Claims Operations Specialist at Everlywell, you will play a crucial role in the day-to-day activities of the revenue cycle and payer operations team. Your primary responsibility will be to manage claims accurately and in a timely manner, ensuring that all necessary documentation is submitted to payers. You will communicate with payer partners to follow up on outstanding accounts and resolve any issues that may arise during the claims process. Additionally, you will assist with payer enrollment, helping to streamline the onboarding of new payers into our system.
You will maintain operational documentation, ensuring that all processes are well-documented and easily accessible for team members. Your role may also involve supporting chart reviews related to HEDIS and risk adjustment, contributing to the overall quality of care provided by Everlywell. You will have the opportunity to participate in cross-functional projects, collaborating with various teams across the organization to improve operational efficiency and enhance the patient experience.
At Everlywell, you will be part of a dynamic team that is transforming healthcare through innovative solutions. We offer a supportive work environment where you can grow your skills and advance your career. You will have access to ongoing training and development opportunities, allowing you to stay current with industry trends and best practices. Our company culture emphasizes collaboration, and you will have the chance to work alongside talented professionals who are passionate about making a difference in the healthcare landscape. We encourage you to apply even if your experience doesn't match every requirement, as we value diverse perspectives and backgrounds.
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