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Medical Claims Coordinator

Sacramento, California | Temp-to-Hire Position

Post Date: 05/16/2017 Job ID: 38323.1 Industry: Healthcare/Medical
An established healthcare organization in the Sacramento area is seeking a Medical Claims Coordinator to provide support to their fast-paced Account Services department. This person will be providing administrative support to the department as well as doing some claims follow up and light medical accounting. The ideal candidates will have strong support skills as well as the ability to adapt quickly in a multi-faceted environment. This is a temporary to hire opportunity with a well-established organization.

RESPONSIBILITIES: Acts as liaison between staff and assigned health plans for day-to-day operations including billing, enrollment and broker commission inquiries as well as claims reporting and related financial activities. Supports the production of regular and ad hoc reports to meet contractual requirements and health plan requests. Resource to client related to updates and process integration and new implementation items Directs customer service attendance to email and phone for client employer groups and related brokers. Responds to internal customer service support request on claim payment, ACH assignment, and eligibility inquiries Process weekly claims payments, credits, high volume refunds and intricate reporting for assigned clients. Complete COBRA management, COBRA processing, and enrolls members in client benefitsprograms. Review and pursue aged Accounts Receivable, prepare cash receipts and deposits for multiple accounts, andinitiate online banking transmittals. Process monthly billing cycles as well as biweekly and monthly client individual plan capitation payment. Close and reconcile claims and enrollment systems monthly.

REQUIREMENTS & SKILLS: 2+ years' experience in an administrative support and coordination role, some experience with accounting preferred. Ability to handle a fast-paced, multi-faceted environment. Knowledge of a healthcare setting is preferred. Excellent communication skills, both verbal and written. Proficient in Microsoft Office Suite (Outlook, Word, Excel, etc.)

PAY: $17.00/hr

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