Contract Claims Processor (Month to Month) - Sana Benefits

Sana’s vision is to make healthcare easy. All of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system.

We’re currently seeking a Contract Claims and Appeals Processor who will be responsible for processing insurance claims in a timely and accurate manner. This includes gathering and verifying claim information, researching and resolving claim issues, and communicating with claimants to ensure their satisfaction.

What You Will Do

• Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary. Maintain accurate and up-to-date notes of all claims processed.
• Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties.
• Become an in-house expert on all claims-related matters and provide answers and support to Customer Success and Customer Support teams.
• Identify operational issues and escalate them to the appropriate internal team.
• Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.
• Work independently and as part of a team to meet deadlines and daily processing quotas. Your success will be measured on your ability to complete daily and weekly targets.

About You

• Two-year degree and/or two years of claims adjudication and processing experience.
• Unparalleled attention to detail. You love getting into the weeds to get things done.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.
• Fast learner. Entrepreneurial. Self-directed.
• Ability to meet deadlines and work under pressure.
• Experience in claims processing, knowledge of insurance principles and procedures is a plus.

About Sana

Founded in 2017, Sana is a health plan solution built for small and midsize businesses — designed around our integrated primary care service, Sana Care. We’ve been remote-first since day one, with a fully distributed team across the U.S.