Claims Correspondence Specialist

2 weeks ago

Troy, United States Integra Partners Full time
Job DescriptionJob Description

The Claims Correspondence Specialist role is responsible for reviewing, sorting, and actioning claims correspondence received by clients, along with managing the database of correspondence requests on audits, prepayment requests, and rejections.

Rate of Pay: $16.00/hour

JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES

The Claims Correspondence Specialist responsibilities include but are not limited to:

  • Review and sort claim correspondence from the digital mailbox.
  • Route and attach claim correspondence into the billing system, Que.
  • Keeping information confidential and understanding, protecting PHI.
  • Able to self-manage, prioritize, and organize with excellent attention to detail and problem-solving skills.
  • Maintain database of incoming requests
  • Requesting medical records from providers and responding to external clients’ requests.
  • Meet or exceed department metrics and goals
  • Adhere to department policy and procedures on performance management and attendance.

What will you learn in the first 6 months?

  • Complete understanding of the Claims Department team within the organization
  • You will understand your role and responsibilities, and which tools assist you in your position.
  • During this time, you will set measurable goals for personal development and performance management.

EXPERIENCE

  • Service Orientation – Actively looking for ways to help the department and company
  • Demonstrated ability to escalate, rectify, and manage production throughout
  • Ability to type at or above 45 WPM (words per minute)        
  • Familiarity with the 1500 claim forms, and DMEPOS services
  • Correctly read and assess medical documents
  • Computer experience, and the ability to learn new programs and software, Microsoft Word and Microsoft Excel background is a necessity
  • Motivated and able to work independently within a fast-paced, team environment
  • Must be organized and thorough
  • Sound judgement and critical thinking
  • Must follow policies regarding attendance and punctuality
  • Meet all daily productivity and weekly quality goals

Benefits Offered

  • Competitive compensation and annual bonus program
  • 401(k) retirement program with company match
  • Company-paid life insurance
  • Company-paid short term disability coverage (location restrictions may apply)
  • Medical, Vision, and Dental benefits
  • Paid Time Off (PTO)
  • Paid Parental Leave
  • Sick Time
  • Paid company holidays and floating holidays
  • Quarterly company-sponsored events
  • Health and wellness programs
  • Career development opportunities

Our Story

Founded in 2005, Integra Partners is a leading network management company specializing in Orthotics, Prosthetics, and Durable Medical Equipment. We are reimagining access to in-home healthcare to improve the quality of life for the communities we serve.

With locations in New York City, Michigan, and a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.

Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

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