Claims Support Coordinator

At Medix, we are dedicated to creating opportunities for talent through our Healthcare, Scientific and Information Technology divisions. Our dedicated recruiters offer a personalized service to make sure we truly understand your employment needs. We are currently seeking a (omitted but job title with relevant experience).

Partner with Medix, and you will experience the multiple benefits our company has to offer. We will hold a personal consultation with you to understand your skills and aspirations! Our placement services provide flexibility to accommodate your schedule and needs, offering contract, contract-to-hire and direct hire positions.

---

Remote Claims Support Coordinator

---

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 and 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.

---

Benefits

In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week for four consecutive weeks.

As a contract employee with Medix, you can choose to enroll in our Benefits Program during your eligibility period and enjoy:

• 401(k) Retirement Plan
• Medical, dental and vision plan with American Worker
• Prescription Programs
• Term Life Insurance Plan

---

Medix - Positively Impacting Lives

Featured on such prestigious lists as Inc. Magazine's "Inc. 5000" list of the nation's fastest growing private companies, as well as Inavero's "Best of Staffing" Client list.

"The Medix team's support and encouragement provided me with the confidence I required while pursuing a position in which I continue to excel and grow, both professionally and personally." -Sam, Medix Talent.

Join our network of talented professionals!
Apply today!