About Accolade
Accolade (Nasdaq: ACCD) provides millions of people and their families with an exceptional healthcare experience that is personal, data driven and value based to help every person live their healthiest life. Accolade solutions combine virtual primary care, mental health support and expert medical opinion services with intelligent technology and best-in-class care navigation. Accolade's Personalized Healthcare approach puts humanity back in healthcare by building relationships that connect people and their families to the right care at the right time to improve outcomes, lower costs and deliver consumer satisfaction. Accolade consistently receives consumer satisfaction ratings over 90%. For more information, visit accolade.com.

• Act as a trusted resource for complex claims and benefit questions and issue resolution.
• Act as a liaison to our health plan partners and providers in solving complex claims and benefit issues.
• Educate AHAs by helping them better understand claims and benefit questions/issue resolution and support ongoing training/learning with frontline employees.
• Collaborate with Accolade teammates, health plans, and providers to deliver the best possible service experience for Accolade clients.
• Handle claim disputes with partner health plans on behalf of the client
• Ensure compliance with internal and external health plan partner business processes.
• Develop and maintain solid working relationships and processes with health plans and other payors.
• Support AHAs with eligibility, benefits, and claims questions and/or issue resolution, including understanding the root cause of the issue
• Handle claim disputes with partner health plans on behalf of the client.
• Listen, assess, and comprehend the clients' presenting issue(s) and use critical thinking, judgment, and problem solving to take appropriate action.
• Identify opportunities to improve how we resolve claims and benefit issues, including improvements to MRM (our customized service platform), our benefit content, and other tools and resources.
• Leveraging your industry knowledge and influencing skills, encourage future collaboration with health plans and providers.
• Participate in special projects as requested
• Provide colleagues with timely and accurate solutions to their client's complex claims problems.
• Effectively manage an ongoing portfolio of claims/benefits issues, ensuring timely, complete and accurate resolution in support of client expectations and health plan processing guidelines.
• Provide colleagues with timely and accurate solutions to their client's complex claims problems.
• Effectively manage an ongoing portfolio of claims/benefits issues, ensuring timely, complete and accurate resolution in support of client expectations and health plan processing guidelines.

• High School Diploma/GED
• 3+ years of Health Plan or third party payor claims processing experience with a thorough understanding of health care delivery
• 2+ years experience with medical benefits and claims from either provider or payor perspective
• 2+ years working knowledge of various lines of business and applicable coding, (CPT, HCPCS, ICD-9/10, DRG, etc.)
• Skilled in verbal/written communication

• Bachelor's Degree
• Previous experience in roles where technology, multi-tasking and verbal/written communication is used to drive their day to day responsibilities
• Long-term job tenure in previous work experience for non-contract roles
• Strong workplace etiquette

• Comprehensive medical, dental, vision, life, and disability benefits, including access to Accolade Advocacy, Accolade Care, and Accolade EMO.
• HDHP medical plan with generous employer contributions towards an HSA
• 401(k) Retirement Plan with matching employer contributions
• Open Time Off
• Generous Holiday Schedule + 5 floating holidays
• 18 weeks of paid parental leave
• Subsidized commuter benefits programs
• Virtual access to coaching, self-care activities, and video-based therapy and psychiatry through Ginger
• 1 Volunteer days per year
• Employee Stock Purchase Plan (ESPP) w/ employee discount