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Let’s do great things, together!
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Investigates and processes claim adjustments for all medical lines of business and COB claim adjustments for Medicare/Medicaid plans. Also processes adjustments related to overpayment recovery, underpayment adjustments and other corrections. Performs COB updates (excluding Commercial), file reviews, issues adjustment related letters to members and providers, performs payment offsets and also validates and completes stop payment requests. Assists in customer service inquiries regarding contractual and administrative policies and applies excellent customer service when a phone call is needed to complete an adjustment or other support work.Primary Functions:
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
For more information regarding accommodations please direct your questions to humanresources@modahealth.com.
Full Time
Insurance
$44k-53k (estimate)
10/27/2023
07/18/2024
modahealth.com
PORTLAND, OR
1,000 - 3,000
1955
Private
ROBERT GOOTEE
$200M - $500M
Insurance
Moda Health provides medical, dental, pharmacy and medicare insurance plans for individuals and businesses.