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Claims Coordinator

2 months ago

Tampa, United States Apixio Full time

**Who We Are**:
At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models.

The combination brings together healthcare expertise, AI/machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem. We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.

**About the role**:
As a Claims Coordinator, you will work within the Operations Department, reporting to the Manager, Claims Coordinator. You will be responsible for entering claims into our proprietary software system and submitting accepted claims to the Transcription Department. Additionally, you will perform the preliminary setup for Claims Analysts, ensuring that the claims process runs smoothly and efficiently.

**Who you are**:

- Diligently monitor incoming claim notifications.
- Ensure all required claim submission documents are present and legible.
- Promptly notify the Lead Claims Coordinator when documents are missing or illegible.
- Efficiently perform the initial setup of individual claims in the system.
- Accurately enter claim information for the analyst.
- Adeptly place claims in the correct status.
- Escalate problematic claims to the Lead Claims Coordinator.
- Transfer claim documents to the Transcription Department seamlessly.
- Notify management when a re-bill is received.
- Conduct initial analysis of data and documents submitted by clients, including claims, EOBs, bills, policies, and correspondence.
- Fill out request forms for additional information and submit them to the Senior Claims Analyst.
- Meticulously combine claim documents.
- Copy combined files and rename them according to policy and procedures.
- Maintain strict compliance with HIPAA and other security requirements.
- Take on additional duties as assigned with a proactive attitude.

**What you bring to the table**:

- Ability to type a minimum of 40 WPM.
- Experience working with Adobe.
- Proficient data entry skills with a high level of accuracy.
- Excellent attention to detail.
- Ability to follow procedures meticulously.
- Intermediate to advanced computer skills, including proficiency in Microsoft Office Suite and Adobe Acrobat.
- Experience using multiple monitors.
- Ability to learn and adapt to all company-specific software.
- Strong interpersonal and team-building skills.
- Ability to collaborate with a diverse team and drive change across functional and business boundaries.

**What Apixio can offer you**:

- Meaningful work to advance healthcare
- Competitive compensation
- Exceptional benefits, including medical, dental and vision, FSA
- 401k with company matching up to 4%
- Generous vacation policy
- Remote-first & hybrid work philosophies
- A hybrid work schedule (2 days in office & 3 days work from home) (_Note: If the position is designated as REMOTE it will stay REMOTE_)
- Modern open office in beautiful San Mateo, CA; Los Angeles, CA; San Diego, CA; Austin, TX and Dallas, TX
- Subsidized gym membership
- Catered, free lunches
- Parties, picnics, and wine-downs
- Free parking

We take your privacy very seriously. Please review our privacy policy to see exactly how we protect your information here
- We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace._

**Notice to Recruiters/Staffing Agencies**
- Recruiters and staffing agencies should not contact Apixio through this page. _All recruitment vendors (search firms, recruitment agencies, and staffing companies) are prohibited from contacting our hiring manager(s), executive team members, or employees_
- We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file
- Apixio receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Apixio and such organization and will be considered unsolicited and Apixio will not be responsible for related fees

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