37 минут назад
Claims Coordinator (Medical Claims)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Coordinator (Medical Claims): Processing and resolving medical claims while supporting providers and members with an accent on claims research, repricing, documentation, and HIPAA compliance. Focus on resolving discrepancies, generating Explanation of Benefits statements, maintaining accurate records, and meeting daily productivity expectations.
Location: On-site at 8918 Spanish Ridge Ave, Suite 200, Las Vegas, Nevada, United States
Base compensation range: $0–$0
Company
provides insurance and related services, with this role supporting medical claims operations.
What you will do
- Respond to provider and member inquiries about claims by phone and email.
- Review, research, reprice, and resolve claims according to plan guidelines and pricing methodologies.
- Verify claim status, review plan specifications, and generate Explanation of Benefits statements.
- Manage the Claims inbox and follow up on requests in a timely manner.
- Document inquiries, complaints, actions taken, and claim-related records accurately.
- Provide administrative and office support while meeting daily claims productivity expectations.
Requirements
- At least 1 year of experience in administration, customer service, claims support, or a related office environment.
- Strong customer service, written and verbal communication, analytical, and problem-solving skills.
- Excellent attention to detail, accuracy, organization, and time management.
- Proficiency with Microsoft Outlook, Word, and Excel.
- Ability to maintain confidentiality and handle sensitive information in compliance with HIPAA and data privacy standards.
- High school diploma or equivalent required; additional education or related training is a plus.
Culture & Benefits
- On-site presence is expected to support collaboration, team leadership, and cross-functional partnership.
- Medical, dental, vision, life, and disability insurance, plus fertility and wellness benefits.
- Paid sick time, paid time off, holidays, and an Employee Assistance Program.
- 401(k) with immediate vesting, HSA and FSA options, commuter benefits, and employee discounts.
- Paid maternity and paternity leave, legal plan options, and pet insurance.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →
Похожие вакансии
2 дня назад
Associate Credentialing Representative
3 дня назад
Claims Adjuster Blue Card-3 OPEIU
6 дней назад
Workers Compensation Claim Associate
52 600 - 86 800$
6 дней назад
Associate Claims Examiner (Workers' Compensation)
26 - 54$
4 дня назад
Senior Medical Claims Specialist (Healthcare)
22 - 25$
4 дня назад