Medical Claims Specialist

Cnscares; Olathe (KS); On-site; USD 28,000 - 33,000; Full time

Benefits offered by this job

Medical, dental, vision, and 401K

Health Savings Account (HSA)

Matching 401k

Paid Time Off (PTO)

Job summary

CNS Cares, LLC is hiring for a full-time, in-office position located in Overland Park, KS. The role focuses on developing relationships with leads, claimants, and stakeholders involved with the EEOICPA program, guiding the claim filing process, and assisting with eligibility research.

Responsibilities include assisting claimants, collecting records, filing claims, and communicating resources and timelines. Strong customer service and organizational skills are essential for success in a

Qualifications

• High school diploma or GED is required.
• At least two years of related program or clinical/medical experience or training.
• Background in health-related programs is preferred.

Responsibilities

• Provide assistance to claimants through the filing process.
• Determine benefits under EEOICPA or related programs.
• Research and gather work history and medical records as needed.
• Help claimants file initial or refile denied claims.
• Inform individuals of resources that aid claims and wellness.
• Respond to phone calls and emails promptly with internal/external customers.
• Maintain industry knowledge through training opportunities.
• Identify process efficiencies and improvements.
• Coordinate with health service agencies after Release of Information.
• Occasionally attend outreach events as needed.

Skills

Customer service

Communication

Relationship building

Teamwork

Education

High school Diploma or GED

2+ years related program or clinical/medical experience

Job description

Description

Pay Rate: $20.00 - $24.00 per hour depending on experience, plus bonus potential

Location: Overland Park, KS

Full-Time, In-Office, Monday - Friday

Benefits Summary:

• Medical, dental, vision, and 401K
• Health Savings Account (HSA)
• Matching 401k
• Paid Time Off (PTO)

SUMMARY

On behalf of CNS Cares, LLC ("CNS" or "Company"), this position is responsible for developing relationships with leads and claimants, associated retiree groups, physicians, authorized representatives, agency personnel, and other various stakeholders associated with the EEOICPA program and other programs as required.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Employee must have regular attendance/punctuality, have excellent customer service skills, be able to work with others at all levels of the Company and be completely honest. This position will be in office, without remote capability. Other assigned duties include:

1. Provide assistance to claimants as needed, by guiding claimants through the claim filing process, and supporting in other ways as needed.
2. Determine what benefits these individuals may qualify for under the EEOICPA or other identified programs.
3. Assist in research and gather work history and medical records as necessary.
4. Help claimants file initial claims and refile claims that have been denied.
5. Inform individuals of the resources available that may assist their claim process and overall health and wellness.
6. Answering & return frequent phone calls/emails in a polite & timely manner with internal and external customers.
7. Maintains industry knowledge by participating in educational and training opportunities.
8. Assists in identifying efficiencies and improving processes.
9. Maintains contact with professionals of various health service agencies, after obtaining a Release of Information, to determine Claimant eligibility services.
10. Occasionally will attend outreach events as needed.
11. Other duties as assigned.

Requirements

EDUCATION and/or EXPERIENCE

Required:

• High school Diploma or GED.
• At least two (2) years of related program or clinical/medical experience and/or training.

Preferred:

• Certified Medical Assistant (CMA) certification or Licensed Practical Nurse (LPN) preferred, but not required
• At least one (1) year of specific DOL EEOICPA program experience preferred.

RELATED COMPETENCIES

Knowledge of DOL EEOICPA program, knowledge of the EEOICPA application process, specifically the records necessary for any potential claimant to file a claim under the EEOICPA. Knowledge of medical terminology and the ability to translate terminology into verbal and written communication.

Licensure/Certification

• Valid Driver’s License

Clearances

The following background checks are conducted:

• Criminal background
• Driving Record
• OIG Exclusion List
• Sex Offender Registry