Associate, Medical Claims

NRECA is a unique national trade association providing advocacy, financial services, and business support services to over 900 consumer owned electric cooperatives across the country. NRECA employees are united by our mission, inclusive culture, collaborative workplace, and commitment to service excellence. As a "best place to work" employer, we operate with integrity, transparency, and a spirit of innovation.

NRECA offers an outstanding benefits package which includes Medical, Dental, and Vision insurance, a matching 401K, as well as a pension plan plus much more! This position also offers employees a hybrid work schedule with 2 days in the office and 3 days from home M-F, 8:15 a.m. - 5:00 p.m. and occasional Saturdays. Remote work isn't an option.

Insurance & Financial Services Department Summary

Are you ready to be part of a dynamic, inclusive, and mission-driven insurance and financial services team? At NRECA, we cultivate and reward a commitment to delivering service excellence to our members every day. Our culture emphasizes a strong sense of diversity, integrity and belonging, driven by our core values of collaboration, communication, creative problem solving, and accountability.

The work we do to develop and administer industry-leading employee benefit plans and services are diverse and intellectually challenging, and the results help improve the quality of life for hard working Americans across the country. If you are motivated by mission and values, as well as competitive pay and outstanding benefits, then this is the place for you.

Position Summary

We are searching for an entry level Medical Claim Associate to review, investigate, and analyze medical claims information, process medical claims, answer member calls meeting quality and daily production requirements, make outbound calls to members & providers, analyze and respond to requests for information, and set challenging goals.

Work Schedules

12-week training class: M-F, 7:30 a.m. - 4:30 p.m.

Hybrid Schedule: Monday - Thursday - in the office; Fridays - at-home.

Post-Training: M-F, 8:15 - 5:00 p.m. & after 6-months employment must be available to work a rotating schedule, 9:15 a.m. - 6:00 p.m. approximately 12 times per year.

Hybrid schedule: 2 days in the office, 3 days at home.

Required Qualifications and Skills

• High School diploma or GED

• Up to 12 months experience in medical claims processing working with medical insurance plans or in a healthcare billing office.

• Telephone customer service experience.

• Strong interpersonal and communication skills.

• Able to work in an environment with quality and production requirements.

• Able to perform and work on multiple tasks.

• Able to use technology and navigate within computer systems and applications.

• Able to work overtime on Saturday mornings when needed, 6:00 a.m. - 1:00 p.m.

Preferred Qualifications

• Associate's degree

• Medical terminology certificate or medical terminology coursework as part of a college degree program.

Essential Physical Requirements

• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal and extensive reading.

• This job is sedentary work, and the worker sits most of the time; therefore, the job is rated for light work.

Disclaimer Statement: The preceding job description has been written to reflect management's assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned.

Additional Requirement:

The preceding job description has been written to reflect management's assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

NRECA is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail humanresources@nreca.coop or call: 703-907-5992 - NRECA Arlington Human Resources. Please call 402-483-9275 - NRECA Lincoln Human Resources, for Lincoln, NE employment opportunities. We will make a determination on your request for reasonable accommodation on a case-by-case basis.

The U.S. Equal Employment Opportunity Commission (EEOC) recently released the 'Know Your Rights' poster, which updates and replaces the previous "EEO is the Law" poster and "EEO Is the Law Poster Supplement".

Pay Transparency Non-Discrimination. NRECA will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. Please see the Pay Transparency Nondiscrimination Provision for more information.

E-Verify. As a Federal Contractor, NRECA is required to participate in the E-Verify Program to confirm eligibility to work in the United States. For information please click on the following link: E-Verify.

For more information about life at NRECA please visit www.Electric.coop.