Overview

Who we are:

MotivHealth is a growing insurance company changing healthcare by focusing on HSA-based insurance plans that produce lower premiums, better benefits and the ability for employees to build significant health savings. MotivHealth drives a unique approach to healthcare solutions by enabling their members to price their healthcare, understand their provider quality, and control their overall healthcare experience. Motivhealth drives change at the member and provider level by always placing the member first. As a company MotivHealth is committed to changing healthcare, providing unmatched member experience, and lowering healthcare premiums.

Job Description

The Claims and Implementations team is looking to hire a Claims Analyst. This role processes provider and member claims, ensuring accuracy and timeliness. You will be reviewing and adjudicating claims, resolving issues, while looking for ways to enhance the process. We need a self-motivated individual with strong attention to detail and a proactive approach to problem-solving. Enjoy a supportive culture, growth opportunities, and competitive pay and benefits.

Responsibilities

• Review and adjudicate claims from providers and members electronically and via paper submissions.
• Ensure adherence to processing accuracy and volume standards consistently.
• Identify and resolve claim issues, quality concerns, and other member/provider issues, escalating when necessary.
• Document all interactions and actions, maintaining compliance with privacy and confidentiality standards.

Qualifications

• 2 years of experience as a claim analyst/processor in health insurance or related field.
• Proficient in HCFA and UB claim processes.
• Familiarity with medical terminology, CPT, ICD, and Revenue Coding a huge plus!
• Self-motivated, organized, detail-oriented, and team player with strong interpersonal skills.
• Ability to work independently, take initiative to improve processes, and demonstrate problem-solving skills.

What We Offer

• 401(k) retirement savings plan with company match
• Wellness benefits including Medical, Pharmacy, Dental, Vision, Life, and Disability
• Health Savings Account (HSA)
• Paid time off
• Professional development and Training
• Flexible work schedules - including work-from-home options available depending on role

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off

Schedule:

• Monday to Friday

Work setting:

• In-person

Experience:

• Claims Processing: 2 years (Required)

Work Location: In person