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Full-Time

Claims Associate

Confirmed live in the last 24 hours

Garner Health

Garner Health

51-200 employees

Healthcare data platform improving patient outcomes

Data & Analytics
Hardware
Healthcare

Compensation Overview

$20 - $22Hourly

+ Equity Incentive + Competitive Benefits

Entry, Junior

Remote in USA

Category
Procurement & Sourcing
Quality Control & Compliance
Operations & Logistics
Required Skills
Communications
Requirements
  • Experience working in a customer-facing or operations environment with demonstrated experience staying calm under pressure
  • Excellent written and verbal communication skills
  • A high level of detail- and process-orientation, digital organization, and resourcefulness
  • A quiet and distraction-free work environment with a reliable internet connection (ability to hard wire if needed strongly preferred)
Responsibilities
  • Evaluating claims to determine whether they qualify for reimbursement
  • Delivering exceptional service to our members via phone, chat, and email, offering education and guidance to help them navigate the Garner claims process
  • Following documented best practices for handling claims and communicating with members; suggesting process improvements as you identify them
  • Manage and organize workload using Garner’s platform and tools, including Zendesk and G Suite
  • Achieving pre-defined goals for claims processing volume, efficiency, and quality
  • Triaging and escalating complex and urgent member situations
  • Retaining detail-oriented working knowledge of Garner processes and healthcare billing practices
  • Relaying member feedback to leadership teams to improve Garner’s solution

Garner Health focuses on improving patient outcomes and reducing healthcare costs by utilizing a vast database of medical records. With over 60 billion records from 320 million patients, Garner identifies healthcare providers who are known for accurate diagnoses and better patient care. Individuals and families can use Garner's app and Concierge team to find in-network providers that are available and conveniently located. Additionally, Garner offers a reimbursement service for out-of-pocket medical expenses incurred when visiting these top providers. For corporate clients, Garner provides a solution that enhances employee benefits and lowers costs without altering existing plans or networks. This approach allows companies to achieve savings and improve value-based care through data-driven insights. Garner's goal is to leverage its extensive claims database to deliver valuable services that enhance healthcare experiences for both individual and corporate clients.

Company Stage

Series B

Total Funding

$65.1M

Headquarters

New York City, New York

Founded

2019

Growth & Insights
Headcount

6 month growth

13%

1 year growth

36%

2 year growth

108%
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Simplify's Take

What believers are saying

  • Recognition in Fast Company's 2023 World Changing Ideas Awards highlights Garner's innovative impact on healthcare transparency and cost reduction.
  • Strategic partnerships, such as with Marathon Health, enhance Garner's ability to guide patient choice through data-driven insights.
  • Significant investments from Optum Ventures and other prominent investors underscore Garner's growth potential and financial stability.

What critics are saying

  • The competitive landscape in healthcare technology is intense, requiring continuous innovation to maintain a leading position.
  • Dependence on the accuracy and comprehensiveness of its claims database could pose risks if data quality issues arise.

What makes Garner Health unique

  • Garner leverages the largest claims database in the U.S., enabling it to identify top-performing healthcare providers with unparalleled accuracy.
  • The company's reimbursement service for out-of-pocket medical costs incentivizes clients to choose high-quality providers, a unique offering in the healthcare market.
  • Garner's non-disruptive corporate solution enriches employee benefits without requiring changes to existing plans or networks, setting it apart from competitors.