Health Care Claims Coordinator

  • location: Omaha, NE
  • type: Contract
  • salary: $20.38 per hour
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job description

Health Care Claims Coordinator

job summary:
JOB SUMMARY

  • Supports the Provider Relations Field Representative to achieve department goals.
  • Answer incoming telephone inquiries from providers and assist with problem resolution of issues.
  • Coordinate submission of provider to internal departments via contract maintenance forms.
ESSENTIAL FUNCTIONS ---- Note: The following is not intended to be an exhaustive list of all duties required of this position ---- Key Duties and Responsibilities

  • Supports the Provider Relations Field Reps to resolve claims and payment issues.
  • Answers incoming telephone inquiries from providers and assist with problem resolution of issues.
  • Root cause analysis of operational and health services issues.
  • Reviews and processes incoming and outgoing paperwork, including directory updates,provider credentialing applications, contract maintenance forms and other related forms.
  • Tracks new contracts through sidewinder.
  • Audits configuration loads on new contracts.
  • Provides office. project management. provider recruitment and data analysis support.
  • Performs special projects as assigned or directed.
Additional Position Responsibilities - Optional ---- ---- MINIMUM QUALIFICATIONS

Education ---- State the minimum required for the job ---- Education Level Education Details Required/Preferred

  • A High School or GED Required
  • An Associate's Degree in a related field Preferred
Work Experience ---- State the minimum required for the job ---- Experience Level Experience Details Required/Preferred

  • 1+ year of experience in customer service or claims with exposure to problem resolution Required
  • No Experience Required
Licenses and Certifications ---- List professional licenses and certifications associated with this job ---- Licenses/Certifications Other Licenses/Certifications Required/Preferred

Skills ---- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Demonstrated problem solving skills Beginner
  • Demonstrated interpersonal/verbal communication skills Intermediate
  • Demonstrated written communication skills Beginner
  • Demonstrated organizational skills Intermediate
  • Demonstrated time management and priority setting skills Intermediate
  • Demonstrated analytical skills Intermediate
Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

  • Microsoft Outlook Intermediate Required
  • Microsoft Word Beginner Required
  • Microsoft Excel Beginner Required
  • SalesForce Beginner Preferred
  • Sidewinder Beginner Preferred
Languages ---- List all that apply ---- Languages Other Languages Required/Preferred

 
location: Omaha, Nebraska
job type: Contract
work hours: 8 to 5
education: Bachelor's degree
experience: 1 Years
 
responsibilities:
ESSENTIAL FUNCTIONS ---- Note: The following is not intended to be an exhaustive list of all duties required of this position ---- Key Duties and Responsibilities

  • Supports the Provider Relations Field Reps to resolve claims and payment issues.
  • Answers incoming telephone inquiries from providers and assist with problem resolution of issues.
  • Root cause analysis of operational and health services issues.
  • Reviews and processes incoming and outgoing paperwork, including directory updates,provider credentialing applications, contract maintenance forms and other related forms.
  • Tracks new contracts through sidewinder.
  • Audits configuration loads on new contracts.
  • Provides office. project management. provider recruitment and data analysis support.
  • Performs special projects as assigned or directed.
 
qualifications:
Additional Position Responsibilities - Optional ---- ---- MINIMUM QUALIFICATIONS

Education ---- State the minimum required for the job ---- Education Level Education Details Required/Preferred

  • A High School or GED Required
  • An Associate's Degree in a related field Preferred
Work Experience ---- State the minimum required for the job ---- Experience Level Experience Details Required/Preferred

  • 1+ year of experience in customer service or claims with exposure to problem resolution Required
  • No Experience Required
Licenses and Certifications ---- List professional licenses and certifications associated with this job ---- Licenses/Certifications Other Licenses/Certifications Required/Preferred

Skills ---- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Demonstrated problem solving skills Beginner
  • Demonstrated interpersonal/verbal communication skills Intermediate
  • Demonstrated written communication skills Beginner
  • Demonstrated organizational skills Intermediate
  • Demonstrated time management and priority setting skills Intermediate
  • Demonstrated analytical skills Intermediate
Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

  • Microsoft Outlook Intermediate Required
  • Microsoft Word Beginner Required
  • Microsoft Excel Beginner Required
  • SalesForce Beginner Preferred
  • Sidewinder Beginner Preferred
 
skills: Other:
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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