Claims Processor at Carrot

Des Moines, Iowa, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Dec, 25

Salary

64000.0

Posted On

30 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Detail-Oriented, Organized, Verbal Communication, Written Communication, Problem-Solving, Innovative Thinking, Claims Processing, Interpersonal Skills, Creative Problem Solving, Adaptability, Claims Tracking, Eligibility Troubleshooting

Industry

Hospitals and Health Care

Description

About Carrot: Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Trusted by many of the world’s leading multinational employers, health plans, and health systems, Carrot’s proven clinical program delivers exceptional outcomes and experiences for members and industry-leading cost-savings for employers. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause. Carrot offers localized support in over 170 countries and 25 languages. With a comprehensive program that prioritizes clinical excellence and human-centered care, Carrot supports members and their families through many of the most meaningful moments of their lives. Learn more at get-carrot.com. The Role: In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using their Carrot Card. You will collaborate with members of the Care team, Customer Success and Finance team to ensure an exceptional member experience. This is an in office position in West Des Moines, Iowa. The needed shift is 8:00 am- 5:00 pm or 10:00 am- 7:00 pm CST, Monday through Friday. Training will take place for the first 4 weeks from 8:00 am- 5:00 pm CST. The Team: This role will coordinate activity between our Payments team and insurance payers to ensure that payment for applicable care is quickly and accurately facilitated. Minimum Qualifications: Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and love to check things off your to-do list Excellent verbal and written communication skills Problem-solving skills to analyze, troubleshoot and resolve issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in a language in addition to English (to support the translation of documents) Strong Interpersonal Skills Ability to thrive in a fast-paced, results-oriented environment Solve problems creatively and think on your feet Ability to lean in to changing priorities and processes Track claims and denials through the entire lifecycle Identify gaps in claims and reach out to providers for missing information Help members troubleshoot issues involving claims or eligibility Compensation: Carrot offers a holistic, total rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, paid time off, sick time, parental leave, family-forming assistance, and a competitive compensation package. This is a non-exempt position with a base pay of $56,000-$64,000 ($26.92/hr.- $30.77/hr.). In addition, this role may include variable compensation based on performance. Overtime pay will apply when required, and paid overtime may be necessary during peak periods. The actual rate of pay will be determined based on job-related skills and experience. Why Carrot? Carrot has received national and international recognition for its pioneering work, including Fast Company's Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare’s Innovators. Carrot’s global workforce has been acknowledged with several accolades, including Fortune’s Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com.

Responsibilities

You will be responsible for reviewing incoming member out-of-pocket expenses and collaborating with various teams to ensure an exceptional member experience. This role will coordinate activity between the Payments team and insurance payers to facilitate accurate payment for applicable care.