Healthcare Claims Administrator

2 weeks ago

Mechanicsburg, Pennsylvania, United States Valenz Full time
Job Overview

Valenz Health is dedicated to simplifying the intricacies of self-insurance for businesses through a strong focus on data transparency and informed decision-making, powered by our Healthcare Ecosystem Optimization Platform. With a solid foundation rooted in clinical and member advocacy, combined with extensive experience in claims reimbursement and payment accuracy, Valenz enhances healthcare for providers, payers, plans, and members. By fostering 'true transparency' and delivering data-driven solutions that enhance cost, quality, and outcomes, Valenz engages proactively for improved healthcare experiences.

Position Summary

As a Healthcare Claims Administrator, you will manage the claims and billing processes associated with our specialized programs. Your responsibilities will include preparing and verifying payments, invoices, and financial documentation, maintaining customer accounts, and ensuring precise data entry. You will also cultivate relationships with healthcare providers, synchronize processes with the claims team, and actively identify and resolve any discrepancies or issues.

Key Responsibilities:

  • Prepare, verify, and document payments and transactions related to accounts receivable, ensuring compliance with billing protocols.
  • Generate invoices in accordance with company standards, maintain appropriate documentation, and ensure timely submission to clients.
  • Create comprehensive reports detailing the status of customer accounts.
  • Update and maintain customer files with accurate information to ensure data integrity.
  • Develop and sustain strong relationships with imaging and surgical facilities, acting as the primary contact for prompt payment and issue resolution.
  • Work collaboratively with the team to align processes and ensure consistency in billing and claims management.
  • Investigate and resolve discrepancies in payments, adjustments, and billing issues.
  • Assist with daily reconciliations, transaction processing, and maintenance of accounting records.
  • Submit claims electronically and via paper through the clearinghouse, coordinating with clinical and operational teams.
  • Proactively identify potential challenges and implement effective solutions to mitigate escalations with business partners.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Qualifications:

  • Minimum of 3 years of experience in medical billing, claims processing, or healthcare revenue cycle management.
  • In-depth knowledge of medical coding, billing practices, and claims submission processes.
  • Exceptional attention to detail and data entry skills with a strong emphasis on accuracy.
  • Strong organizational and time management abilities.
  • Capability to multitask and prioritize effectively in a dynamic environment.
  • Excellent written and verbal communication skills.

Preferred Qualifications:

  • Experience with QuickBooks.
  • Familiarity with direct contracting or provider-payer relationships.
  • Understanding of accounting principles and practices.

Why Work with Us?

At Valenz, we offer a range of employee benefits that extend beyond standard compensation packages. Our commitment to delivering on our promise of engaging proactively for improved healthcare outcomes is at the core of our operations. We strive to create an environment where all team members can thrive and grow. If you are ready to leverage your skills and passion to make a meaningful impact in the healthcare self-funded sector, Valenz could be the ideal workplace for you.

Benefits Include:

  • Comprehensive company-sponsored Medical, Dental, and Vision insurance.
  • Flexible spending account options: HSA, FSA, and DCFSA.
  • 401K plan with company matching and immediate vesting.
  • Flexible work environment.
  • Generous Paid Time Off, including Vacation, Sick leave, and Paid Holidays.
  • Paid maternity and paternity leave.
  • Opportunities for community engagement, including paid time off for volunteer activities.

Valenz is committed to fostering an inclusive workplace that values diversity and equality. We ensure that all employment decisions are based on business needs, job requirements, and individual qualifications, without regard to any protected characteristics.

  • Medical Billing and Claims Expert

    1 week ago

    Mechanicsburg, Pennsylvania, United States Valenz Full time

    About Our OpportunityAs a Medical Claims Coordinator, you will play a crucial role in 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 will also establish relationships with healthcare...

  • Mail Processing Assistant

    2 days ago

    Mechanicsburg, Pennsylvania, United States Gallagher - Global Full time

    About the RoleGallagher - Global is seeking a highly organized and detail-oriented Mail Processing Assistant to join our team. As a Mail Processing Assistant, you will play a critical role in supporting our global claims services by processing and mailing various documents via USPS/UPS and updating claims with documents/tracking information with a 24-hour...

  • Healthcare Administrative Associate

    2 weeks ago

    Mechanicsburg, Pennsylvania, United States Penn State College of Medicine Full time

    Penn State Health - Community Medical Group Location: US:PA: Mechanicsburg Work Type: Full Time FTE: 1.00 Shift: Day Hours: 9:00 AM - 5:30 PM, alternating Saturdays in the morningSUMMARY OF POSITION: Reporting to the Office Manager, this role is essential in delivering front office assistance. MINIMUM QUALIFICATION(S): High School Diploma or equivalent...

  • Healthcare Administrative Associate

    2 weeks ago

    Mechanicsburg, Pennsylvania, United States Penn State College of Medicine Full time

    Penn State College of Medicine - Community Medical Group Location: United States Work Type: Full Time FTE: 1.00 Shift: Day Hours: 9:00 AM - 5:30 PM, alternating Saturdays in the morning SUMMARY OF POSITION: Reporting to the Office Manager, the individual in this role will provide essential front office support. MINIMUM QUALIFICATION(S): High School...

  • Healthcare Customer Support Specialist

    2 weeks ago

    Mechanicsburg, Pennsylvania, United States University of Pittsburgh Medical Center Full time

    Role OverviewThe Healthcare Customer Support Specialist plays a crucial role in assisting patients as they navigate the complexities of the healthcare system. This position is dedicated to ensuring that patients receive clear and concise guidance throughout their healthcare journey.Key ResponsibilitiesProvide comprehensive support to patients by offering...

  • Healthcare Support Specialist

    1 week ago

    Mechanicsburg, Pennsylvania, United States Penn State Health Full time

    Job Title: Healthcare Support SpecialistCompany: Penn State HealthJob SummaryAs a Healthcare Support Specialist at Penn State Health, you will play a vital role in providing exceptional patient care and support services. Your responsibilities will include assisting with various healthcare services, obtaining specimens, conducting routine lab studies, and...

  • Healthcare Support Specialist

    2 weeks ago

    Mechanicsburg, Pennsylvania, United States Penn State Health Full time

    Job Title: Healthcare Support SpecialistCompany: Penn State HealthPOSITION OVERVIEWAccountable for assisting with a variety of healthcare services, acquiring specimens, performing standard laboratory tests, and aiding in administrative tasks such as managing patient flow and organizing appointments.Act as a qualified mentor for the orientation of new...

  • Healthcare Support Specialist

    2 weeks ago

    Mechanicsburg, Pennsylvania, United States Penn State Health Full time

    Job Title: Healthcare Support SpecialistCompany: Penn State HealthPOSITION OVERVIEWThe Healthcare Support Specialist plays a crucial role in assisting with a variety of medical services, including the collection of samples, performing standard laboratory tests, and aiding in administrative tasks such as managing patient flow and organizing appointment...

  • Healthcare Talent Acquisition Specialist

    1 week ago

    Mechanicsburg, Pennsylvania, United States Select Medical Full time

    About the Role**Job Summary:**We are seeking a skilled Healthcare Talent Acquisition Specialist to join our team at Select Medical. As a vital member of our recruitment team, you will be responsible for sourcing top talent in the healthcare field, supporting our efforts to fill critical roles within our organization.**Key Responsibilities:**Collaborate...

  • IT Systems Administrator

    2 weeks ago

    Mechanicsburg, Pennsylvania, United States 10bits Full time

    Company Overview:10bits is a prominent provider in the Healthcare and Professional Staffing sector. We specialize in delivering top-tier clinical professionals to hospitals and medical facilities, ensuring compliance with the highest standards to facilitate exceptional medical care.Position Title:System AdministratorLocation:Mechanicsburg, PAEmployment...

  • Administrative Support Specialist

    1 week ago

    Mechanicsburg, Pennsylvania, United States NDX Full time

    Company Overview:NDX is a prominent organization in the healthcare sector, focusing on the dental field. We provide a comprehensive range of specialized products, services, and technologies tailored to meet diverse dental restoration requirements. With numerous labs across the nation, we are committed to excellence in all we do.Position Summary:We are...

  • Mail Processing Specialist

    7 days ago

    Mechanicsburg, Pennsylvania, United States Gallagher - Global Full time

    About the RoleGallagher - Global is seeking a highly organized and detail-oriented Mail Processing Specialist to join our team. As a key member of our operations team, you will be responsible for printing and mailing various documents via USPS/UPS and updating claims with documents/tracking information with a 24-hour turnaround time.Key...

  • Administrative Support Specialist

    1 week ago

    Mechanicsburg, Pennsylvania, United States NDX Full time

    Company Overview:NDX is a prominent organization in the healthcare sector, particularly focused on dental solutions. We provide a comprehensive range of specialized products, services, and technologies to meet diverse dental restoration requirements. Our extensive network includes over 50 laboratories nationwide.Position Overview:We are currently looking to...

  • Property Damage Adjuster Trainee

    7 days ago

    Mechanicsburg, Pennsylvania, United States Progressive Insurance Full time

    About the RoleAs a Claims Adjuster Trainee at Progressive Insurance, you'll embark on a comprehensive training program to develop your skills in resolving insurance claims efficiently. This role is ideal for individuals who enjoy building relationships with customers, working in a fast-paced environment, and learning about property damage and insurance...

  • Travel Nurse RN

    3 days ago

    Mechanicsburg, Pennsylvania, United States MedPro Healthcare Staffing Full time

    Job SummaryMedPro Healthcare Staffing is seeking a skilled Medical-Surgical Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.Key ResponsibilitiesProvide high-quality patient care in a Medical-Surgical setting, focusing on adult patients before and after surgical procedures.Administer medication, perform various treatments,...

  • Travel Nurse RN

    3 days ago

    Mechanicsburg, Pennsylvania, United States MedPro Healthcare Staffing Full time

    Job SummaryMedPro Healthcare Staffing is seeking a skilled Registered Nurse to join our team as a Med-Surg Travel Nurse. As a Med-Surg Nurse, you will provide high-quality patient care in a fast-paced hospital setting. This is a 13-week contract opportunity with a reputable healthcare facility in Pennsylvania.ResponsibilitiesProvide routine treatment and...

  • Client Engagement Specialist

    1 week ago

    Mechanicsburg, Pennsylvania, United States Valenz Full time

    Job OverviewValenz Health is dedicated to simplifying the intricacies of self-insurance for organizations through a steadfast focus on data transparency and decision-making support, facilitated by its Healthcare Ecosystem Optimization Platform. With a robust foundation rooted in clinical and member advocacy, combined with extensive expertise in claims...

  • Client Engagement Specialist

    2 weeks ago

    Mechanicsburg, Pennsylvania, United States Valenz Full time

    Job OverviewValenz Health is dedicated to demystifying the intricacies of self-insurance for businesses through a steadfast commitment to data clarity and decision-making empowerment, all supported by its Healthcare Ecosystem Optimization Platform. With a robust foundation in clinical and member advocacy, along with extensive expertise in claims processing...

  • Medical Assistant

    4 days ago

    Mechanicsburg, Pennsylvania, United States Radiant Ventures Full time

    Radiant Ventures is seeking a skilled Medical Assistant to join our team. As a Medical Assistant, you will play a vital role in ensuring the smooth operation of our healthcare services.Key Responsibilities:Act as a liaison between medical staff, patients, and families, providing clear and concise information and support.Prepare patients for medical...

  • Licensed Practical Nurse

    1 week ago

    Mechanicsburg, Pennsylvania, United States Messiah Lifeways Full time

    Job Summary:As a key member of our care team, the Licensed Practical Nurse - Care Coordinator will be responsible for ensuring the highest level of quality and continuity of resident care. This role will involve supervising the performance of all members of the nursing care team on a designated neighborhood and shift.Key Responsibilities:Supervise and...