Sr. Clerical Support, Medical Claims $14 (Monday- Friday 8- 5pm)

Published
October 9, 2019
Location
Arlington, TX
Category
Job Type

Description

Are you looking for a rewarding new position with an industry leader with a firm commitment to its employees? Join our team at MultiPlan! Founded in 1980, we are the industry's most comprehensive provider of healthcare cost management solutions. We have almost 1,000,000 healthcare providers under contract, an estimated 68 million consumers accessing our network products, and 40 million claims reduced through our network and non-network solutions each year.
JOB SUMMARY: Provide high quality and efficient analytical and systematic support. Provide necessary information to others within the department to complete claim processes. Analyze and closure of select claims to maximize client savings and revenue.

JOB ROLES AND RESPONSIBILITIES:

1. Obtain additional supporting data from Clients or various systems to complete claim processes.

2. Analyze and administer closure process on select automated claims & back up individuals on other claim closures.

3. Create and execute business correspondence to clients using multiple media formats.

4. Manage complex, escalated, and/or client initiated emails from shared email boxes.

5. Complete post claim closure payment inquiries or status.

6. Adhere to client TAT requirements as relates to response time and required actions.

7. Analyze and process agreement on claims that require manual intervention.

8. Ensure notes, codes and appropriate closure processes for claims are followed and documented in applicable systems.

9. Manage departmental reports and projects as required.

10. Provide backup duties for Vendors, Support Associates, and Receptionist as needed.

11. Collaborate, coordinate, and communicate across disciplines and departments.

12. Ensure compliance with HIPAA regulations and requirements.

13. Demonstrate Company's Core Competencies and values held within.

14. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.

JOB SCOPE:

The incumbent keeps the needs of external and internal customers as a priority when making decisions and taking action. Work is generally complex and requires independent judgment within established guidelines. More complex issues are referred to higher levels. Accurate and timely processing of claim documents and requests directly impacts company revenue and client savings.

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