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Associate Claims Specialist, Commercial *Remote*
Associate Claims Specialist, Commercial *Remote*-April 2024
Beaverton
Apr 30, 2025
About Associate Claims Specialist, Commercial *Remote*

  Description

  Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

  Providence Health Plan is calling an Associate Claims Specialist, Commercial who will:

  Process claims for members, providers, and employers

  Provide and interpret detailed benefit, eligibility, and premium information on a broad portfolio of products

  Respond to claim inquires, and resolve member issues or concerns

  Correctly analyze and adjudicate claims to reflect financial, check, and processing accuracy

  Please note the following important details regarding this role:

  This posting is for multiple openings of an Associate Claims Specialist, Commercial

  This role requires flexibility to work an assigned shift between the hours of 6:30am-5pm , Monday - Friday

  We welcome 100% remote work for residents who reside in the below listed State:

  OregonRequired qualifications for this position include:

  2+ years' experience with claims, customer service or accountingPreferred qualifications for this position include:

  Bachelor's Degree

  2+ years' customer service experience working in a healthcare or insurance environment (Examples: Clinical, Back office, Insurance Support, Etc.)

  2+ years' experience processing insurance claims

  2+ years' experience in membership accounting

  Why Join Providence?

  Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

  About Providence

  At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

  The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

  Check out our benefits page for more information about our Benefits and Rewards.

  About the Team

  Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

  Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

  Requsition ID: 250842

  Company: Providence Jobs

  Job Category: Claims

  Job Function: Revenue Cycle

  Job Schedule: Full time

  Job Shift:

  Career Track:

  Department: 5018 OPS CLAIMS COMMERCIAL OR REGION

  Address: OR Beaverton 3601 SW Murray Blvd

  Work Location: Murray Business Ctr Beaverton-Beaverton

  Pay Range: $17.91 - $27.90

  The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

  Check out our benefits page for more information about our Benefits and Rewards.

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