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Centers Plan for Healthy Living Claims Intake Coordinator in Staten Island, New York

Claims Intake Coordinator

Staten Island, NY, USA

Req #11370

Friday, September 23, 2022

Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

JOB SUMMARY:

To ensure Centers Plans for Healthy Living (CPHL) compliance with State and Federal regulations the Claims Intake Coordinator shall review and correct claim errors. Support the claims department through the review of claim reconsideration requests and engage internal and external customers to assist in the resolution

PRIMARY RESPONSIBILITIES:

  • Examine, process open claim errors identified during claim adjudication.

  • Performs data entry of claims .

  • Performs intake of provider reconsideration requests or other claim correspondence and enters details in tracking system

  • Conducts follow up of provider reconsideration requests as required.

  • Provides telephone support for Claims department

  • Reviews cla im forms (CMS 1500 or UB04) for data quality and generates notices to providers as necessary

    EDUCATION AND EXPERIENCE:

    Education

    Required: HS Diploma

    Preferred : 2 years college

    Type of Experience

    Required: General office experience, with data entry

    Preferred: Medical office experience

    Specific Technical Skills

    Required: Proficiency with MS applications, including but not limited to Word, Excel, and Outlook .

    Strong telephonic and customer service skills

Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.

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  • Staten Island, NY, USA
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