Claims Processor (Spanish Literate) Carrot Fertility is the leading global fertility, family-building, and lifelong hormonal healthcare platform providing care for everyone, everywhere. Trusted by more than a thousand multinational employers, health plans, and health systems, Carrot's comprehensive clinical program delivers industry-leading cost savings for employers and award-winning experiences for millions of people worldwide. From maternity through menopause and pre-pregnancy through parenting, Carrot is dedicated to expanding access and improving outcomes. Carrot empowers members with compassionate, personalized, and inclusive support. 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. You need to be able to work between the hours of 10 am-7 pm CST. This is an in office position in West Des Moines, Iowa. 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
- Literacy in Spanish (to support the translation of documents)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:- 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
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.
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.
