Procurement coordinator

Essential Job Function

The primary functions of this position are ordering itemizations and medical records from providers for medical bill audits, investigating and resolving payment discrepancies between payer and provider claims information and entering itemization information into database.

The Bill Procurement Coordinator must be professional, highly proficient in Excel, high-energy, quick worker, motivated, a self-starter, able to work independently and must be detail orientated.

Must actively participate with other staff as part of an effective work team.

Job Duties and Responsibilities :

Strong communication skills for outreach to hospitals, clinicians and other remote staff members in an effort to resolve discrepancies found in supplied medical information

Strong problem solving skills to determine inconsistencies between clients supplied billing information and hospitals supplied billing information

Compile, analyze and make conclusions about case information and status from multiple sources

Collect, store and apply specific hospital information to be utilized when communicating with facilities

Ensure all processes meet HIPAA and Government security requirements with regards to sharing / storage / PHI (Personal Health Information).

Participate in fact-finding special project request from clients and hospitals

Ability to interact with all levels of people both internally and externally in a professional manner

Ability to multi-task, prioritize effectively and work quickly

Ability to work proficiently with Microsoft Office, Word, and Excel required

Ability to adapt quickly to changing priorities with little notice

Generate Excel reports for hospitals, external clients and internal clients

Ability to work independently to meet objectives

Strong emphasis on organization skills

Validate correctness of medical information supplied by hospitals and clients

Validate itemization against claim information in the internal database

Track and tag all hospital supplied itemizations in the internal database

Support all other office functions when requested

Maintains a high standard of confidentiality and ethics

Competent and productive within high pressure deadline driven culture

Other duties as assigned

Carewise Health provides a generous benefits package including :

Medical Insurance

Dental Insurance

Life Insurance

Vision Insurance

Paid Vacation

Paid Holidays

Paid Sick Days

Short Term Disability

Long Term Disability

401K Plan With Company Match

Tuition Reimbursement

All benefits are effective on the 1st day of employment with the exception of tuition reimbursement and STD / LTD, which is effective after 90 days of employment.

Required Skills

Required Experience :

• High school diploma or equivalent (GED)
• Associates degree preferred, healthcare industry experience highly considered in lieu of formal secondary education
• Ability to perform basic mathematical calculations
• Must be detail oriented
• Medical Claims payment and processing preferred

Required Experience

1-2 years data entry experience.

Required Experience :

• High school diploma or equivalent (GED)
• Associates degree preferred, healthcare industry experience highly considered in lieu of formal secondary education
• Ability to perform basic mathematical calculations
• Must be detail oriented
• Medical Claims payment and processing preferred

Last updated : 2024-03-26