Ramhealth
A Claims/Encounter Specialist reviews pended claims across various specialties, applies business rules to finalize claims, and manages adjustment requests to ensure regulatory compliance. The role involves preparing claims data for submission, supporting member and provider inquiries, and upholding production and quality standards within the healthcare payer segment. Candidates must utilize analytical skills to identify process improvement opportunities while adhering to strict HIPAA and HITECH regulations.
RAM Health is a health IT company providing a core administrative processing system purpose-built for Medicare Advantage, Special Needs, and Managed Medicaid plans. Their platform simplifies health plan administration by centralizing core processing functions for payers and managed care organizations. Positioned as the only core administrative system specifically designed for those plan types, RAM Health aims to help plans streamline operations and meet regulatory and program requirements.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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Ramhealth didn’t post a salary, so this is our estimate from similar listings.
17% below the average for this role