Healthcare Claims & Payments Coordinator

SuperCare Health; Roseburg (OR); Vor Ort; USD 42.000 - 54.000; Vollzeit

Benefits dieser Stelle

Medical

Vision

Flexible Savings Account

401K

Voluntary Life Insurance

Paid Training

Paid Time Off

Sick Time

Employee Referral Reward Program

Employee Discount Program

Zusammenfassung

Rick's Medical Supply, Inc. in Roseburg, OR is hiring a Shared Services Representative to coordinate claims posting and work with outsourced resources. You will ensure timely submission of claims, maintain payer documentation, and reconcile posting batches daily under the Shared Services Manager.

Ideal candidates have familiarity with insurance company rules and excellent communication skills to support internal teams and external payers. Some paid training and benefits accompany this role.

Qualifikationen

• Familiarity with current rules and regulations of insurance companies.
• Excellent communication and customer relations skills.

Aufgaben

• Primary point of contact with outsourced resources for claims and posting tasks.
• Communicate with all parties any updates to policy and procedure concerning claims, posting, and mail.
• Maintain and update weekly stats for Manager
• Create and maintain a binder with all payer requirements to ensure documentation exists for each payer as applicable.
• Work with internal and external entities to ensure all claims are being submitted timely and correctly
• Work with payers as needed to get them converted from paper to EDI, where applicable
• Monitoring the batches in piggy for manual and pending posting batches
• Allocate the work assigned to the outsource team
• Responsible for daily reconciliation of batches created to posted batches, reporting to manager daily on outstanding balances.
• Troubleshoot missing EOB’s from payment batches to obtain and resolve, per policy
• Performs other duties, as assigned

Kenntnisse

Insurance knowledge

Customer communication

Jobbeschreibung

Rick's Medical Supply, Inc. in Roseburg, OR is hiring a Shared Services Representative to coordinate claims posting and work with outsourced resources. You will ensure timely submission of claims, maintain payer documentation, and reconcile posting batches daily under the Shared Services Manager.

Ideal candidates have familiarity with insurance company rules and excellent communication skills to support internal teams and external payers. Some paid training and benefits accompany this role.