Claims Processor, Brio Living Services

Join our Team as a Claims Processor!

Why You'll Love Working Here:

Career Growth & Development - Advance your career with tuition assistance and school scholarships up to $3,000 per semester.

Wellness Program & Reimbursement - Prioritize your health and well-being, reimbursed $120 a year!

Competitive Benefits for Full-Time Team Members - Enjoy Medical, Vision & Dental Insurance starting on the 1st of the month after 30 days of hire.

Retirement Savings Plan - Secure your future with employer contributions.

Daily Pay - Get paid when YOU want!

Generous Paid Time Off (PTO) - Includes 6 Paid Holidays and 2 Floating Holidays.

Team Member Referral Bonus Program - Earn $500 when you bring great people to our team!

Mileage Reimbursement - Offered for work-related travel Schedule: Full Time 40 hours per week Monday - Friday, 8a - 4:30p with flexibility of times

Department: Ypsilanti, MI and surrounding areas

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

What You'll Do in This Role:

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.

Primary Responsibilities

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

Track and assist in reporting claims data for re-insurance and other key areas as assigned

Assist with monthly correspondence for True Out of Pocket (TOOP) cost tracking

Support monthly RAPs and EDS reporting, including resolving claim errors

Participate in monthly audits of RAPs return/output data Team Collaboration and Skill Development

Actively participate in team meetings and training opportunities to stay current and enhance professional skills • What You'll Need:

Associate Degree in Business, Accounting, Finance, or a related field, desired.

A combination of education and directly related experience may be considered.

Two years of previous financial experience.

Strong technology skills, including proficiency in computers, Microsoft Office (Word, Excel, Outlook), data entry, and system applications.

The above is a summary of the position, it in no way states or implies that these are the only duties this position will be required to perform. If selected for the position you will receive a full job description.

Ready to Make an Impact?

At Brio Living Services, we're looking for compassionate, dedicated individuals who are ready to contribute to a supportive and dynamic team. If this sounds like you, we'd love to have you join us!

ACCESSIBILITY SUPPORT

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

BRIO LIVING SERVICES IS AN EQUAL OPPORTUNITY EMPLOYER

Brio Living Services provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, or genetics in accordance with applicable federal, state and local laws.

Req# 9709