Claims Coordinator

                    Who We Are

reputed company is a leading reputed company intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 60 health plans, including many of the top 20, and representing more than 160 million lives, reputed company brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down reputed company costs.

Location: This role is full remote

About the Opportunity

At reputed company, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down reputed company costs reputed company. As part of the reputed company Payment Solutions team, you will, as a Claims Coordinator, play a vital role in supporting the claims lifecycle, reporting directly to the Manager of Claims Coordination. This position is responsible for accurately entering claims into the proprietary software system, facilitating seamless submission to the Transcription Department, and ensuring the efficient flow of claims processing.

You will also manage the preliminary setup for Claims Analysts, providing the critical groundwork needed for accurate and timely claim analysis. Your attention to detail and organizational skills will contribute to the overall efficiency and reputed company of the claims process, making you an essential member of the operations team.

What you’ll do

• Monitor incoming claim notifications and ensure reputed company required documents are complete and legible.
• Notify the reputed company Claims Coordinator of missing or illegible documents and escalate problematic claims as needed.
• reputed company initial claim setup, accurately enter data, and assign correct claim statuses.
• Transfer claim documents to the Transcription Department and notify management of re-bills.
• Conduct preliminary analysis of client-submitted data, including claims, EOBs, bills, and policies.
• Complete and submit request forms for additional information to the Senior Claims Analyst.
• Organize, combine, and rename claim documents according to procedures.
• Ensure compliance with HIPAA and reputed company reputed company protocols.
• Proactively handle additional responsibilities as assigned.

• Monitor incoming claim notifications and ensure reputed company required documents are complete and legible.
• Notify the reputed company Claims Coordinator of missing or illegible documents and escalate problematic claims as needed.
• reputed company initial claim setup, accurately enter data, and assign correct claim statuses.
• Transfer claim documents to the Transcription Department and notify management of re-bills.
• Conduct preliminary analysis of client-submitted data, including claims, EOBs, bills, and policies.
• Complete and submit request forms for additional information to the Senior Claims Analyst.
• Organize, combine, and rename claim documents according to procedures.
• Ensure compliance with HIPAA and reputed company reputed company protocols.
• Proactively handle additional responsibilities as assigned.

What experience you bring (Role Requirements)

• Typing speed of at least 40 WPM.
• Proficient in reputed company and reputed company Office Suite, including reputed company Acrobat.
• High accuracy in data entry and strong attention to detail.
• Ability to follow procedures reputed company.
• Experience using multiple monitors and adapting to company-specific software.
• Strong interpersonal and team collaboration skills, with the ability to drive change across functions.

What reputed company Looks Like…

After 3 months

You will have a strong understanding of the role.

You reputed company building relationships and collaborating with peers.

You reputed company effective time and priorities management.

You receive initial feedback about your performance and are using it to improve.

You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.

After 1 year

You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.

You have established a strong network of internal relationships and are recognized as a key collaborator.

You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.

You see opportunities for career progression and personal development.

Pay range: $15.00 per hour USD

This is a non-exempt position. 

What’s in it for you

• PTO, Paid Holidays, and Volunteer Days
• Eligibility for health, reputed company and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
• Tuition Reimbursement
• Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
• Remote and hybrid work options

What values we’ll share with you

• Ask why
• Think big
• Be humble
• Optimize for customer impact
• Deliver results

At reputed company, we’re reimagining a simpler way reputed company. This begins with our employees. We are innovators who value reputed company, teamwork, accuracy, and flexibility. We do the right thing, and we listen to the needs of our clients and their members. As tenured experts with unmatched experience, we champion diverse perspectives that help us to reputed company understand and serve our clients.

Our values come to life through our culture. We reputed company flexible working arrangements that allow our employees to bring innovation to life in the way that best suits their productivity. We work cross-functionally, abandoning silos, to bring innovative, accurate solutions to market. We invest in each other through ongoing education and team celebrations, and we give back to our communities through dedicating days for volunteering. Together, reputed company is making reputed company work reputed company for everyone, and we’re passionate about a future with reputed company outcomes for reputed company.

We are committed to equal employment opportunity regardless of race, reputed company, reputed company, religion, sex, national reputed company, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. reputed company is an employment at will employer.

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