Medical Claims

Job Summary:

Handles inbound phone calls from Providers, VA, and other customers. Reviews claims and responds to billing questions. Provides updates on claim status, including notification that claims are in process, pending for more information, and denied. Works in a detailed, fast-paced, and repetitive production environment. Interacts with customers in a professional, formal manner where the focus is on completing the task pleasantly and with high quality and accuracy.

Key Responsibilities

o Understands procedures and processes of the VA program

o Answers inbound calls from providers in a timely manner

o Answers questions related to the status of providers’ claims

o Conducts basic claims history research to answer provider questions

o Documents all communications involving provider contacts

o Escalates complex claims issues for further review

o Consistently displays professional customer service skills to internal and external customers

o Protects the privacy of health information of patients when using or disclosing Protected Health Information (PHI). PHI is any information about health status, or healthcare services that is linked to an individual

o Takes appropriate measures to comply with HIPAA regulations to protect privacy of beneficiaries' health information

o Consistently meets department productivity and performance metrics

o Performs other duties as assigned

o Regular and reliable attendance is required

Position is ONSITE:

Address:   15810 N 28TH AVE Phoenix, AZ 85053 (I-17 & Greenway)

• Training hours will be Monday-Friday 8:00 am – 4:30 pm AZ time. Training is typically 2 -4 weeks long and no time off will be approved. 
• The work shifts after all training is complete will start at 7, 7:15 and 7:30am AZ time. Final shifts will be determined at a later date.
• Length of contract – projecting 3 months 

About Aston Carter:

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Responsibilities:

Job Summary:Handles inbound phone calls from Providers, VA, and other customers. Reviews claims and responds to billing questions. Provides updates on claim status, including notification that claims are in process, pending for more information, and denied. Works in a detailed, fast-paced, and repetitive production environment. Interacts with customers in a professional, formal manner where the focus is on completing the task pleasantly and with high quality and accuracy. Key Responsibilitieso Understands procedures and processes of the VA program o Answers inbound calls from providers in a timely manner o Answers questions related to the status of providers’ claims o Conducts basic claims history research to answer provider questions o Documents all communications involving provider contacts o Escalates complex claims issues for further review o Consistently displays professional customer service skills to internal and external customers o Protects the privacy of health information of patients when using or disclosing Protected Health Information (PHI).

Salary : $19 - $21