Job Description
Job Summary:
As a Claims Support Coordinator, you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality patient experience within our service level agreements. The Claims Support Coordinator role serves as a liaison between plan members, providers and health insurance companies to get claims issues resolved. The Claims Support handles all communication, paperwork, and negotiations with a health insurance carrier or provider on the behalf of the plan member.
Responsibilities:
Your primary objective is to provide effective and timely customer service for members, providers, insurer and clients regarding health care claims
Ensure timely follow-up on requests for accounts to be reviewed
Organize health insurance paperwork and medical record documentation
Demonstrate knowledge of proprietary software and other required technology (Google apps, etc)
Negotiate with providers on plan member balances
Challenge denials of claims by the insurance company
Communicate with medical offices, hospitals, laboratories, etc... in an effort to obtain relevant records for the patient’s case
Contact providers and insurance companies to resolve claim concerns
Assist with understanding of explanation of benefits (EOBs)
Enabling members to get the errors fixed and recoup or lower their expenses by resolving their: medical bills, denied medical claims, medical letters of appeal
Analyze and identify trends and patterns related to member billing complaints
Collaborate with peers and management across functions
Understand the evolving business requirements and adapt the operational processes to meet those requirements
Speak clearly, confidently and have a friendly phone demeanor while demonstrating persuasion in overcoming objections
Be able to handle a fast-paced dynamic environment with competing priorities
Model a culture reflective of our Core Company Values; gain and maintain a thorough understanding of the Patient Care Team policies, processes, software, etc.
Qualifications:
1+ years claims experience required within hospital or large provider groups (10+ providers)
2+ years of Healthcare Collections and A/R
Passion for providing support
Highly effective communication, problem resolution and organizational skills
Demonstrated ability to meet goals in a rapidly changing environment
Excellent data and overall analytical skills
Proven track record of driving measurable efficiency results
Medical billing/coding certification (CPC) beneficial, but not required
College degree preferred (additional experience in lieu of college degree will be considered)
About Medix?
Medix is dedicated to positively impacting lives every day. Since 2001, we have made it our mission to be the leading provider of workforce solutions for clients and candidates across the Healthcare, Scientific, and Information Technology industries.
Our dedicated recruiters are here to help you find and secure just the right opportunity. We take the time to learn about you, your skills, your interests, and your career goals, and then match you with the jobs and companies that best suit your needs. Whether you are looking for a contract, contract-to-hire, or direct hire positions, we can help you to find the meaningful and gratifying work that you've been looking for.
Minimum Essential Coverage (MEC) plan
Two different fixed indemnity plan add-ons
Major Medical Plans, including 1 HSA Plan
Dental
Vision
Short-term disability
Life and AD&D
This year’s recipient of the Business Ledger's "Entrepreneurial Excellence Growth Award"
Join our network of talented professionals!
Company Description
Medix is dedicated to positively impacting lives and businesses with workforce solutions backed by people data and industry expertise.
Our purpose-driven team impacts employers and job seekers alike within healthcare, life sciences, technology and engineering.Medix is dedicated to positively impacting lives and businesses with workforce solutions backed by people data and industry expertise.\r\n\r\nOur purpose-driven team impacts employers and job seekers alike within healthcare, life sciences, technology and engineering.
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