Claims Coordinator

Claims Coordinator

Who we are

We are a growing software company looking to add a Claims Coordinator to our team. We provide cloud-based software and services to health care plans serving older adults and persons with disabilities – from small nonprofits to large government agencies. We take pride in being an innovative leader in our field. We are a collaborative team with a strong work ethic and a shared passion for providing quality and exceptional services.

The Role

The Claims Coordinator is responsible for; coordinating with outside vendors, paying claims and submission of enrollments, compliance files using our proprietary tools. Most important in this role is BEING ORGANIZED and EXQUISITE ATTENTION TO DETAIL. The right person will take ownership of the processes and communicate clearly and proactively internally and externally and won’t hesitate to jump in to find solutions wherever needed.

Duties and Responsibilities

• Ensuring accurate submissions of files on a recurring monthly schedule.
• Communicating with clients and their vendors to set up new entities in the tool and manage receipt and payment of their invoices.
• Verifying timely entering of claims, claim verification and adjudication, and overseeing check runs.
• Documenting any issues for our development team (including tracking those issues to resolution and checking to make sure the system works as intended).
• Refining and documenting processes as they evolve
• Takes responsibility for completion of core processes

Skills and Abilities

• Exceptional organization and time management; able to prioritize a large volume of work effectively and efficiently with tight deadlines
• Documentation of processes
• Outstanding written and verbal communication skills
• Strong logic and ability to analyze process and and monitor and optimize workflows
• Building relationships with clients
• Monitoring data entry quality and productivity
• Google Suite and desire and ability to quickly learn office tools
• Experience processing medical claims
• Flexibility to embrace change enthusiastically

* This is not a coding or technical job

Education and experience

• Bachelor’s degree not required
• Billing experience strongly preferred

Some quick notes on our company culture: Dress is casual. Attitudes towards regular attendance, deadlines, and quality of work are not casual. We have a great team and only want to add people that bring positive energy, dedication, and a sense of humor.

Please note that all applicants for positions at RTZ Systems are subject to a mandatory background check as a condition of employment.

Proof of COVID vaccination is required for employment at RTZ Systems.

RTZ is proud to be an Equal Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state, and local law.

If you're interested in applying for the position, please tell us a little bit about yourself and what you're looking for in a job.

Job Type: Full-time

Pay: $52,000.00 - $54,000.00 per year

Benefits:

• Flexible spending account
• Paid time off
• Retirement plan

Schedule:

• Monday to Friday

Work setting:

• In-person
• Office

Education:

• Bachelor's (Preferred)

Ability to Relocate:

• Mooresville, NC 28115: Relocate before starting work (Required)

Work Location: In person