Rightway

Billing and Claims Specialist

Rightway(8 days ago)

Denver, COOnsiteFull TimeMedior$44,000 - $50,000Navigation Operations
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About this role

A Medical Claims Specialist at Rightway based in the Denver Tech Center supporting the Navigation Operations team. The role contributes to Rightway’s concierge healthcare model by working with members and partners to ensure accurate claims handling and compliance. This is an onsite position focused on improving the healthcare experience for members.

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Required Skills

  • Benefit Interpretation
  • Provider Billing
  • Claim Adjudication
  • Communication
  • Critical Thinking
  • Problem Solving
  • HIPAA Compliance
  • CRM
  • Customer Service
  • Reimbursement

Qualifications

  • Bachelor's Degree in Health Sciences or Related Field

Rightway Healthcare is a technology-enabled clinical care navigation and benefits company that helps employers and health plans connect members with high-quality, cost-effective care. It pairs clinician-led navigation with a transparent, outcomes-focused pharmacy benefits management (PBM) offering to simplify access, reduce unnecessary spend, and improve medication and treatment decisions. Rightway’s platform combines data-driven insights, care teams, and digital tools to personalize guidance, coordinate referrals, and drive better clinical and financial outcomes.

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