Claims Coordinator / Data Entry ($16/hr)

Job ID: 15868

Job title: Claims Coordinator

Location: Tampa, 33607 - This position is onsite

Pay: $16.00/hr

Hours: Will be assigned to a shift M-F, between 8:00 AM - 8:00 PM (40 hours)
In most cases, the shift will be 11:00 AM - 8:00 PM

Training hours: M-F, 8:00 AM to 5:00 PM

Type: Contract to Hire

Benefits during the contract period: We offer affordable medical, dental, and vision! Learn more: https://bit.ly/3uXokX2

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Job duties:

• This person will processes claims related to laboratory services and provides support to the clinical team
• This position exercises discretion, sound judgment, and personal initiative to assist with the prior authorization process for laboratory services
• Supports the operations of the department by applying policies and workflows, assisting providers, and obtaining proper documentation of prior authorization records and documentation to ensure a quick turnaround time with a quality outcome
• Effectively handles authorization requests and inquiry phone calls from providers, balancing excellent customer service with efficiency.
• Follows appropriate procedures for checking member eligibility, authorization history, and provider network participation status
• Based on the information provided by the healthcare provider, determines the appropriate handling of each prior authorization request
• Accurately enters authorization requests into laboratory benefit management system
• Communicates authorization determinations to providers either verbally on the phone or through written fax communication
• Interprets a variety of instructions furnished in written and oral forms
• Assists in preparing and submitting letters, reports, or assignments as needed to meet department initiatives and/or objectives
• Demonstrates appropriate customer-care skills such as empathy, active listening, courtesy, politeness, and helpfulness
• Assist with claims, insurance, and enrollment
• Must be flexible for other duties as assigned: As an associate you may be required to cross-train across roles/departments with similar job duties, or assist with other business needs as required

Nice to have:

• Healthcare experience

Required:

• (1) year of related CSR experience in claims OR enrollment OR insurance
• Proficient with MS Office products, especially MS Outlook and MS Word
• Professional communication for inbound/outbound calls (very little phone work in this role), with a customer service focus
• Outstanding attention to detail to avoid any breaches
• Ability to read and interpret documents
• Excellent communication skills including proper grammar, voice, and diction
• Willing and able to work a flexible schedule to cover the hours of 8:00am to 8:00pm
• High school diploma or equivalent required
• Background check required
• Drug screening required
• COVID-19 vaccination required

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Environmental Factors/Physical Demands:
Work is performed in an office environment. While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication; access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the telephone. May be subject to repetitive motion such as typing, data entry and vision to monitor. May be subject to bending, reaching, kneeling, stooping and lifting if assigned to any special projects with physical paper file maintenance.

About the Company: Are you looking for more from your career? Hiregy connects job seekers with exceptional companies and helps them fulfill their professional goals. You can trust our professional staffing agency to treat you with respect, take time to learn about your skills, and find a match for your experience and aspirations.

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Job Type: Full-time

Pay: $16.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• recent claims OR insurance OR enrollment: 2 years (Preferred)

Work Location: One location