Claims Processor, Brio Living Services

Job Description

Job Description

Schedule : Full Time | 40 hours per week

Location : Ypsilanti, MI, or surrounding areas

Work Type : Remote position with onsite requirements (training will be conducted onsite)

The Claims Processor analyzes, supports, and executes functions within the claims adjudication process for PACE Shore-to-Shore (S2S), including LifeCircles PACE, Huron Valley PACE, and Thome PACE.

What you’ll do :

Claims Adjudication Process

• Verifying proper authorizations and documentation before processing claims, with necessary follow-up
• Data entry for claims processing
• Tracking claim status and communicating with vendors
• Handling claims denials

Claims Data Tracking and Reporting

Team Collaboration and Skill Development

Regulatory Compliance

This is a summary of the position, and it is not intended to be an exhaustive list of all duties. If selected for the position, you will receive a complete job description.

What It Takes :

Why Brio Living Services?

Accessibility Support

Brio Living Services is committed to offering reasonable accommodation to job applicants with disabilities. If you need assistance or an accommodation, please contact us at loveyourcareer@mybrio.org .

Brio Living Services is an Equal Opportunity Employer

We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, or genetics, in accordance with federal, state, and local laws.

Req # : 9528