From the listing
About the role
Sana’s vision is to make healthcare easy by creating an experience that feels simple when accessing the healthcare system. We aim to deliver better healthcare to small businesses through a seamless care experience and affordable benefits. 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’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.
We have been remote-first since day one, with a fully distributed team across the U.S. We value curiosity, ownership, and speed, working together to solve complex problems and reshape healthcare.
What you'll do
- Ensure the timely and accurate adjudication and payment of medical claims following health plan policies and procedures.
- 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.
- Become an in-house expert on all claims-related matters to support 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 daily operations.
- Work independently and as part of a team to meet daily and weekly processing targets.
What they're looking for
- Two-year degree and/or two years of claims adjudication and processing experience.
- Unparalleled attention to detail and ability to get into the weeds.
- Excellent written and verbal communication skills.
- Ability to work independently and as part of a team.
- Fast learner, entrepreneurial, and self-directed.
- Ability to meet deadlines and work under pressure.
Nice to have
- Experience in claims processing.
- Knowledge of insurance principles and procedures.
From the company page
Sana benefits
◉ Remote policy · in their words
“Sana operates as a remote-first company, embracing a flexible work environment that supports various lifestyles, from parents to digital nomads…”
Pulled from their careers page · verified by Atlas
The hot takeJeff's read on Sana
Jeff hasn't written this one up yet.
Ask, and Sana jumps the queue.