NSA Claims Data Coordinator at Claritev

United States

<p><span>Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and <strong><span>inspire</span></strong> positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by <strong><span>interpreting</span></strong> our client's needs and tailoring <strong><span>innovative</span></strong> healthcare cost management solutions. </span></p> <p> </p> <p><span>Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!</span></p> <p> </p> <p> </p> <p><span><em><span>Do you know someone who you think would be a great fit for this position? To share this job with someone, click the refer-a-friend icon at the top of this page. This icon is to the right of the star icon.</span></em></span></p> <span>JOB SUMMARY: This position supports the department by reviewing, researching and preparing incoming client and provider submissions for next steps as it relates to No Surprise Act. Position will perform a variety of administrative duties to ensure proper processing of information timely and accurately to maintain departmental quality and turn around requirements.</span> <br/><span>JOB ROLES AND RESPONSIBILITIES:</span><br/><span>1. Analyze email and/or portal submissions to create cases, attach appropriate documentation, populate applicable required system fields, prepare submission accordingly for next steps.</span><br/><span>2. Perform timely data entry in all applicable systems and perform timely outreach to providers and/or clients to obtain necessary information. </span><br/><span>3. Perform claim and system research and determine next steps for appropriate routing, which may include adjustment of medical claims. </span><br/><span>4. Log information derived from written and verbal communications using detailed and accurate documentation.</span><br/><span>5. Meet required production and quality standards. </span><br/><span>6. Provide excellent customer service and strive to continuously improve service delivery according to departmental and corporate guidelines and principles. </span><br/><span>7. Collaborate, coordinate, and communicate across disciplines and departments.</span><br/><span>8. Ensure compliance with HIPAA regulations and requirements.</span><br/><span>9. Demonstrate Company's Core Competencies and values held within.</span><br/><span>10. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.</span><br/><span>11. 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.</span> <br/><span>JOB SCOPE: The incumbent works under general supervision in a self-directed and results oriented manner. The incumbent works within established standards and procedures, relying on a broad range of knowledge gained through experience to complete job responsibilities. Work involves support tasks with moderate to high complexity with more complex issues referred to higher levels.</span> <strong><span>Qualifications</span></strong> <span>JOB REQUIREMENTS (Education, Experience, and Training):</span><br/><span>* Minimum High School Diploma or GED</span><br/><span>* Minimum 1 year experience in healthcare environment preferred</span><br/><span>* Knowledge of word processing and spreadsheet software, MS Office, preferred. </span><br/><span>* Excellent communication, organization and attention to detail skills</span><br/><span>* Ability to follow through and work under deadlines</span><br/><span>* Service oriented, flexible and ability to work under pressure</span><br/><span>* Works well in both individual and team environments.</span><br/><span>* Required licensures, professional certifications, and/or Board certifications as applicable</span><br/><span>* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone</span> <p><span><strong><u>COMPENSATION</u></strong></span></p> <p><span>The salary range for this position is <span>$---.</span> Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.</span></p> <p> </p> <p> </p> <p><span><strong><u>BENEFITS</u></strong></span></p> <p><span>We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities. </span></p> <p> </p> <p><span>Your benefits will include:</span></p> <ul> <li><span><span> </span>Medical, dental and vision coverage with low deductible &amp; copay</span></li> <li><span><span> </span>Life insurance </span></li> <li><span><span> </span>Short and long-term disability</span></li> <li><span><span> </span>401(k) + match</span></li> <li><span><span> </span>Generous Paid Time Off</span></li> <li><span><span> </span>Paid company holidays</span></li> <li><span><span> </span>Tuition reimbursement</span></li> <li><span><span> </span>Flexible Spending Account</span></li> <li><span><span> </span>Employee Assistance Program</span></li> <li><span><span> </span>Summer Hours</span></li> </ul> <p> </p> <p><span><strong><u>EEO STATEMENT</u></strong></span></p> <p><span>MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please <a href="https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf"><span>click </span><strong><span>here</span></strong></a>.</span></p> <p> </p>