Claims Specialist
About the role
Support non-clinical dementia-care navigation and Medicare GUIDE support for patients, families, caregivers, and providers, with particular attention to non-clinical care support. The role focuses on claims-specialized execution within dementia care navigation, ensuring every handoff shows what is complete, what is pending, and who owns the next step.
Role Fit
- Use Escalation Management and Provider Support confidently when carrying out claims-specialized execution within dementia care navigation.
- Apply Claims Specialist Documentation without losing track of exceptions, owners, or deadlines tied to claims-specialized execution.
- Document Provider Communication decisions clearly so another teammate can follow the reasoning behind claims-specialized execution.
- Use sound judgment around Claims Specialized Execution, especially when it requires escalation instead of assumption.
Success Measures
The practical outcome is dependable non-clinical care support: clean records, explicit ownership, timely escalation, and fewer downstream fixes. Success is measured through claims-specialized execution within dementia care navigation.
Responsibilities
- Track the Claims Specialist workflow by helping the team protect sensitive information throughout the process.
- Own the Claims Specialist workflow by routing clinical or policy questions to authorized staff.
- Coordinate the Claims Specialist workflow by documenting status and next action for authorized teammates.
- Review the Claims Specialist workflow by maintaining accurate administrative care records.
- Maintain the Claims Specialist workflow by coordinating routine non-clinical follow-up.
Remote execution is complete only when claims-specialized execution leaves non-clinical care support accurate, secure, traceable, and ready for the next authorized teammate.
Schedule
Full-time, 100% remote within the United States.
Pay
Base salary: $45,000–$68,000 per year.