Payment Integrity Account Coordinator

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Payment Integrity Account Coordinator 

Overview

6 Degrees Health is a rapidly growing, nationally positioned cost containment company in the self-funded health insurance industry. Through accountability, engagement, and continuous improvement, we leverage passion and exemplary customer service to support our stakeholders in making informed financial decision about healthcare reimbursement. Our team of industry experts work with health plans to make the most of their healthcare dollars. We are currently seeking aPayment Integrity Account Coordinator to join our fun, fast-paced environment. This is a full-time remote opportunity available to candidates in the United States.

Role Summary

• Act as a direct contact for day-to-day questions, communications, concerns from clients 
• Support new sales efforts 
• Assisting with and supporting new plan implementations, including but not limited to scheduling and running the implementation calls and completing the checklist 
• Provides detailed reporting on claims volume, billed charges, savings, etc. and ensures all client reports are available and accurate 
• Assures any plan changes that impact PI reviews are submitted and implemented by requested deadline 

Essential Role Responsibilities

• Support a culture that is consistent with 6 Degrees Health values and beliefs  
• Supports the designated PI Account Executive  
• Works collaboratively with other departments 
• Log client complaints/concerns and follow-up by 6DH    
• Work collaboratively with the PI Team to identify process gaps and improve procedures   
• Other responsibilities or projects as assigned   

Essential Role Functions

• Must have the ability to read and understand various process flows and procedures  
• Strong internal and external communication skills, both verbal and written  
• Must be willing and able to work a 5-day schedule and additional hours beyond regularly scheduled shift to cover vacancies, if necessary  
• Must be able to sit or stand for two hours at a time  
• Must be able to operate computers and phones to support position requirements  
• Strong Microsoft Office Skills are a must  

Minimum Requirements

• Self-funded healthcare experience preferred  
• General understanding of sales process   
• Experience using Salesforce.com or other CRM  
• Experience in MS Office Suite, specifically Excel  
• 4-year college degree preferred  

Organizational Benefits

• Medical, Dental, Vision and Other Outstanding Ancillary Benefits 
• Training and Development Opportunities 
• 10 Paid Holidays 
• 401(k) Program 
• Monthly Remote Work Stipend 
• Calm App Premium Membership 
• Unlimited Paid Time Off 

The base salary range for this position is between $60,000 and $68,000, plus benefits. Please note that the base salary range is a guideline, and that individual compensation will vary based on factors such as overall qualifications, skillsets, competencies, and work location. 

At 6 Degrees Health, we understand that an outstanding team is the building block of any organization. With a solid foundation, achieving our goals becomes a reality. We are dedicated to creating a safe and inclusive environment for our employees, and those in our communities, and we believe that our community is stronger when everyone is included and appreciated. We are committed to learning, listening, and improving, while celebrating the diversity and humanity of all people. We are committed to providing opportunities for engagement in decision making and ensuring safe transparency to express and challenge ideas. 

6 Degrees Health, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. 

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