Healthcare Claims Coordinator- ON SITE
4 weeks ago
Hybrid role, Must live in Detroit metro area. 1+ year contract
Process Specialist is responsible for assisting and supporting management in the execution, evaluation, recommendation, establishment, implementation and of production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality.
Education/Certifications – Include: High School Graduate or GED equivalent required. Three (3) to five (5) years of experience with benefits and procedures as related to assigned department.
Top 3 Required Skills/Experience –
• Handle escalated servicing issues by way of CMS’ Complaints Tracking Module.
• Ability to work with external parties directly, such as providers and members, to resolve issues/problems and effectively communicate findings.
• Work cross departmentally to address enrollment, claims, benefit, eligibility, and billing matters.
Required Skills/Experience – The rest of the required skills/experience. Include:
• Maintain confidentiality of all information processed.
• Assist and support in the planning, coordinating, developing, and implementing of approved projects which are Divisional and/or Corporate in scope to enhance the overall efficiency of operational procedures, methods, controls, and performance.
• Analyze, process and/or expedite operational transactions; this may include timely resolution of problems.
• Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
• Provide leadership team with status of projects; issue, communicate and recommend policy decisions to achieve project objectives.
• Utilize and maintain available corporate production and reporting systems; produce routine and non-routine reports, presentations, letters communications and graphics.
We work with the best of the best Join us todayCompany DescriptionG-TECH Services, Inc. is a leading certified recruitment and placement firm that provides high-quality, flexible staffing solutions to a nationwide client base. We pride ourselves in keeping employee attrition low and offering exciting career opportunities to Engineers and IT professionals We are large enough to make a difference and small enough to genuinely care about each and every one of our employees\r
We work with the best of the best Join us today
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