Karna, LLC

Job Listings

Here are our current job openings. Please click on the job title for more information, and apply from that page if you are interested. To apply and view consulting/1099 opportunities with Karna, please visit our consulting portal at https://consultants-karna.icims.com/jobs/intro.

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Company Code KARNA LLC [13868]
Job ID 2022-2379
This position is responsible for multiple operational functions across the Member Services department, including the intake and analysis of membership enrollment and certification. Responsibilities include: • Data management across multiple data management systems (including claims processing system, case management systems, and databases) • Handling PII and PHI in adherence with HIPAA and federal data privacy regulations • Communication with multiple business teams internally (Claims, Certification, Enrollment, Outreach) and the public. • Maintaining subject matter expertise in the federal regulations that define the parameters of the World Trade Center (WTC) Health Program, which define Program eligibilities • Daily processing of diverse work products in a high volume environment, maintaining the highest standards of customer service. • Managing in-bound and out-bound calls, working with the public, and • Identifying issues quickly and escalating them through the management chain as needed.
Job Locations
Customer Service/Support
Company Code KARNA LLC [13868]
Job ID 2022-2362
Duties for the Healthcare Claims Processor include: - Resolving pended healthcare claims, prior approval requests and responding to providers. Analyzing claims to determine whether or not the claims should be approved or denied for payment. - Reviewing and addressing provider inquiries regarding claim adjudication - Meeting all required metrics for the position - Applying knowledge of medical coding and various medical claims forms to the claims process.  
Job Locations
Public Health