Demo

Bilingual Claims Processor - HYBRID

Access To Healthcare Network
Las Vegas, NV Full Time
POSTED ON 2/5/2025
AVAILABLE BEFORE 5/2/2025

Job Description

Job Description

Bilingual Claims Processor

Job Purpose : Assist Ryan White clients with insurance enrollment and process premium and cost share payments for medical, dental, and vision claims.

Duties / Responsibilities :

  • Insurance Assistance : Experience with Nevada / Federal Health Exchange, HIP, State Health Insurance Subsidies / Assistance Program, and Medicaid.
  • Client Interaction : Gather information, review applications, and determine eligibility for Ryan White Part B assistance.
  • Payment Processing : Handle HIP and SPAP premium payments, copays, and deductibles for state-approved insurance plans.
  • Database Management : Record client information in CareWare and Salesforce, ensure files are up-to-date, and fulfill sub-grant requirements.

Education / Experience :

  • Bilingual mandatory.
  • High School Diploma required; AA Degree preferred.
  • 1 year of relevant experience preferred, including enrolling consumers with Health Exchange, HIP, Medicaid, and more.
  • Valid driver's license and ability to obtain exchange enrollment facilitator license within 90 days.
  • Physical Requirements :

  • Sit at a computer for 6-8 hours, withstand hand / wrist deviation, lift up to 30 pounds.
  • Benefits :

  • 4 weeks PTO, 14 paid holidays, 4 weeks parental leave, and up to 4 weeks catastrophic leave.
  • Medical, dental, vision effective 1st day of the month after hire.
  • Free health insurance for full-time employees, low-cost options for dependents.
  • Employer-paid EAP, long-term disability, and life insurance.
  • 403B retirement plan with 4% match, tuition assistance, and child-friendly workplace.
  • Equal Opportunity Employer : Committed to diversity and inclusion, prohibiting discrimination and harassment based on protected characteristics. Hiring decisions based on qualifications, merit, and business needs.

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