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Medical Claims Coordinator
3 months ago
Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.
About Our Opportunity
As a Claims Coordinator, you’ll be responsible for overseeing claims and billing processes for the KISx Card program. This includes preparing and verifying payments, invoices, and financial records, maintaining customer accounts, and ensuring accurate data entry. You’ll also establish relationships with healthcare providers, align processes with the claims team, and proactively identify and resolve discrepancies or issues.
Things You’ll Do Here:
- Prepare, verify, and record payments and transactions related to accounts receivable, ensuring accuracy and compliance with billing procedures.
- Create invoices following company practices, maintain proper documentation, and submit them to customers in a timely manner.
- Generate detailed reports on the current status of customer accounts.
- Maintain and update customer files with accurate and up-to-date information, ensuring data integrity.
- Establish and maintain strong relationships with imaging and surgical facilities, serving as the primary liaison for prompt payment and issue resolution.
- Collaborate closely with the team to align processes and ensure consistency in billing and claims handling.
- Research and resolve discrepancies in payments, adjustments, and billing.
- Assist with daily reconciliations, transaction processing, and accounting records.
- Submit claims electronically and on paper through clearinghouse, coordinating with clinical and operations teams.
- Proactively identify challenging situations and implement appropriate actions to mitigate escalations with business partners.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
What You’ll Bring to the Team:
- 3+ years of experience in medical billing, claims processing, or healthcare revenue cycle management.
- Strong knowledge of medical coding, billing practices, and claims submission procedures.
- Excellent attention to detail and data entry skills with a focus on accuracy.
- Strong organizational and time management skills.
- Ability to multitask and prioritize in a fast-paced environment.
- Excellent written and verbal communication skills.
A plus if you have:
- Experience using QuickBooks.
- Experience working with direct contracting or provider-payer relationships.
- Knowledge of accounting principles and practices.
Where You’ll Work
This is an in-office role Our office is located at 1 Kacey Ct, Ste 100 in Mechanicsburg, PA.
Why You Will Love Working Here
We offer employee perks that go beyond standard benefits and compensation packages – see below
At Valenz, our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. We want everyone engaged within our ecosystem to be strong, vigorous, and healthy. You’ll find limitless growth opportunities as we grow together. If you're ready to utilize your skills and passion to make a significant impact in the healthcare self-funded space, Valenz might be the perfect place for you
Perks and Benefits
- Generously subsidized company-sponsored Medical, Dental, and Vision insurance.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting.
- Flexible working environment.
- Generous Paid Time Off to include Vacation, Sick, and Paid Holidays.
- Paid maternity and paternity leave.
- Community giveback opportunities, including paid time off for philanthropic endeavors.
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
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