Claims Support Coordinator - Fully Remote!!

Job Title -  

Claims Support Coordinator

Start Date: 

May 1st and May 15th 

**Contract - 9-10 weeks**

Pay Rate - $21/hour 

Schedule: 

 Monday - Friday 8:00am to 5:00pm PST/EST

Training: 

2 weeks 

Monday-Friday from 10:00 am to 7:00 pm Eastern Time / 7am to 4pm Pacific Time 

Location: 

100% Remote

Assessments: 

Computer Literacy - 85% or better

Myprint 

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 - 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)